Lisa M Provenza-tabak is a Canfield, Ohio based female chiropractor with 26 years of experience in General Chiropractor. She completed her graduation from Palmer College Chiropractic - Davenport in 1998. She is also affiliated with hospitals like Surgical Hospital At Southwoods. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa M Provenza-tabak as General Chiropractor is 2661 in Ohio. Lisa M Provenza-tabak is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Lisa M Provenza-tabak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
26+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
1998
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3680 Starrs Centre Dr, Canfield, Ohio, 44406-9514
Phone:
330-702-0500
Fax:
330-705-0575
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2668544313
Enrollment ID:
I20080711000568
NPI Number:
1871583948
NPI Enumeration Date:
28 Oct, 2005
NPI Last Update On:
11 Jun, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Provenza-tabak are as mentioned below.
License Number
Specialization
State
Status
2661
Chiropractor
Ohio
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Surgical Hospital At Southwoods (360352)
Youngstown, OH
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa M Provenza-tabak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2062888
Medicaid
Ohio
341935351-00
Other
Ohio
BWC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3680 Starrs Centre Dr, Canfield, Ohio
Zip:
44406-9514
Phone Number:
330-702-0500
Fax Number:
330-702-0575
Patients can reach Lisa M Provenza-tabak at 3680 Starrs Centre Dr, Canfield, Ohio or can call to book an appointment on 330-702-0500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.