Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Provenza-Tabak, DC

Individual provider Chiropractor · NPI 1871583948

Lisa M Provenza-Tabak, DC is a Chiropractic in Canfield, Ohio. Graduated from Palmer College Chiropractic - Davenport in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
28
Trained at
Palmer College Chiropractic - Davenport
Licensed in
OH
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3680 Starrs Centre Dr
Canfield, OH 44406-9514
Phone: (330) 702-0500
Fax: (330) 705-0575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2661 (OH)

Record details

NPI number1871583948
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedOctober 28, 2005
Last updated in NPPESJune 11, 2008

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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