Cohen, Lisa Joanne
Cohen, Lisa Joanne is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Ste 248 Beaumnot Chronic Disease Clinic, Royal Oak MI 48073-6770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Cohen, Lisa Joanne can be contacted via phone (248) 551-1515.Contact Information
Primary practice address
3535 W 13 Mile Rd Ste 248 Beaumnot Chronic Disease Clinic
Royal Oak MI 48073-6770
Phone: (248) 551-1515
Fax: (248) 551-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301107741 | Michigan |
Profile Details
| NPI number | 1205999794 |
|---|---|
| LBN Legal business name | Cohen, Lisa Joanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Oct 22nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205999794 | NPPES |
| Maryland | Other | 974398-01 | CAREFIRST BC/BS |
| Maryland | MEDICAID | 440204900 | CAREFIRST BC/BS |
| Maryland | Other | 700F349850 | CAREFIRST BC/BS |
| Maryland | Other | S062-0425 | CAREFIRST BC/BS |
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