Kohler, Lisa Marie

Kohler, Lisa Marie is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kohler, Lisa Marie can be contacted via phone (360) 428-6434.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Phone: (360) 428-6434
Fax: (360) 848-4233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007703 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP30007703 Washington

Profile Details

NPI number 1083699771
LBN Legal business name Kohler, Lisa Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 31st, 2015 - about 10 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 1083699771 NPPES
Washington Other 3169FR BSWA
Washington MEDICAID 1042213 BSWA
Washington Other 0220034 BSWA
Washington MEDICAID 9652330 BSWA

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