Koumoulos, Lisa Marie

Koumoulos, Lisa Marie is an sole proprietor health care provider with primary practice located at 7600 River Rd , North Bergen NJ 07047-6217. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Koumoulos, Lisa Marie can be contacted via phone (201) 854-5000.

Contact Information

Primary practice address
7600 River Rd North Bergen NJ 07047-6217
Phone: (201) 854-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ01081600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ01081600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ01081600 New Jersey

Profile Details

NPI number 1700482866
LBN Legal business name Koumoulos, Lisa Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - about 4 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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