Individual ProviderLisa Ann LeopoldSocial WorkerBehavioral Health & Social Service ProvidersPractice Address38882 Mentor Ave, Willoughby, OH 44094-7875(440) 953-9999PECOS EnrollmentThis provider is enrolled in PECOS as LISA LEOPOLD.Based on the most recent information from CMS, provider Lisa Ann Leopold is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1023529450Provider TypeIndividualFull NameLeopold, Lisa AnnCredentialLISWGenderFemaleSole ProprietorNoEnumeration Date10/12/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address38882 Mentor Ave, Willoughby, OH 44094-7875Phone(440) 953-9999FaxUnlisted FaxMailing LocationMailing Address38882 Mentor Ave, Willoughby, OH 44094-7875Phone(440) 953-9999FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer