Kokontis, Lisa Mary

Kokontis, Lisa Mary is an individual health care provider with primary practice located at 130 2Nd Street West Pavilion 2Nd Floor The Neuroscience Group Of Ne Wi, Neenah WI 54956-2883. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kokontis, Lisa Mary can be contacted via phone (920) 725-9373.

Contact Information

Primary practice address
130 2Nd Street West Pavilion 2Nd Floor The Neuroscience Group Of Ne Wi Neenah WI 54956-2883
Fax: (920) 720-7392
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40464 Wisconsin

Profile Details

NPI number 1487604526
LBN Legal business name Kokontis, Lisa Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487604526 NPPES
Wisconsin MEDICAID 32494700

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