Kotula, Lisa

Kotula, Lisa is an sole proprietor health care provider with primary practice located at 25912 Ashby Dr , Harrison Twp MI 48045-3081. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kotula, Lisa can be contacted via phone (586) 242-6623.

Contact Information

Primary practice address
25912 Ashby Dr Harrison Twp MI 48045-3081
Phone: (586) 242-6623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704212792 Michigan

Profile Details

NPI number 1639912298
LBN Legal business name Kotula, Lisa
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2024
Last updated Jun 13th, 2024 - 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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