Coughlin, Lisa Marie

Coughlin, Lisa Marie is an individual health care provider with primary practice located at 2751 Bay Park Dr Ste 300-303 , Oregon OH 43616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Coughlin, Lisa Marie can be contacted via phone (419) 693-0711.

Contact Information

Primary practice address
2751 Bay Park Dr Ste 300-303 Oregon OH 43616
Phone: (419) 693-0711
Fax: (419) 693-2320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD465786 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-120363 Ohio

Profile Details

NPI number 1932408622
LBN Legal business name Coughlin, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Nov 3rd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932408622 NPPES
Ohio MEDICAID 0084903
Ohio MEDICAID PENDING
Ohio Other PENDING

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