Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Andersen, PAC

Individual provider Medical Physician Assistant · NPI 1225389117

Lisa M Andersen, PAC is a Physician Assistant in Lorain, Ohio. Qualified in 2012, 14 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone: (440) 204-7400
Fax: (440) 204-7203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA22548 (CA)

Record details

NPI number1225389117
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 2, 2012
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing addressPo Box 3699, Newport Beach, CA 92659-8699

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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