Humphries, Lisa Koplik

Humphries, Lisa Koplik is an sole proprietor health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1438. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Humphries, Lisa Koplik can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-1438
Phone: (205) 934-4011
Fax: (205) 297-9411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD.39257 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 39257 Alabama

Profile Details

NPI number 1669826525
LBN Legal business name Humphries, Lisa Koplik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2016
Last updated Jun 29th, 2023 - about 2 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.

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