Koch, Lisa Kristine

Koch, Lisa Kristine is an individual health care provider with primary practice located at 3614 Meridian St Ste 100 , Bellingham WA 98225-1748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Koch, Lisa Kristine can be contacted via phone (360) 734-2800.

Contact Information

Primary practice address
3614 Meridian St Ste 100 Bellingham WA 98225-1748
Fax: (360) 734-3818
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD60533531 Washington

Profile Details

NPI number 1639468762
LBN Legal business name Koch, Lisa Kristine
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Mar 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639468762 NPPES
Washington MEDICAID 1639468762

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