Kowalski, Lise S
Kowalski, Lise S is an individual health care provider with primary practice located at 130 Fisher Rd Suite 3-1, Berlin VT 05602-9516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kowalski, Lise S can be contacted via phone (802) 225-7000.Contact Information
Primary practice address
130 Fisher Rd Suite 3-1
Berlin VT 05602-9516
Phone: (802) 225-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 420008605 | Vermont |
Profile Details
| NPI number | 1346264124 |
|---|---|
| LBN Legal business name | Kowalski, Lise S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 13th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346264124 | NPPES |
| New York | MEDICAID | 01206986 | |
| New York | MEDICAID | OVN0444 |
Popular Providers
-
Guajardo, Arturo
130 Fisher Rd Unit 1 , Berlin VT 05602-8132 -
Curchin, Thomas James
246 Granger Rd Suite 2, Berlin VT 05602-9516 -
Stafford, Dale D
130 Fisher Rd , Berlin VT 05602-9516 -
Williams, Stuart E
130 Fisher Rd , Berlin VT 05602-9516 -
Starr, Bram Stephen
246 Granger Rd Suite 2, Berlin VT 05602-9516 -
Rodriguez, Brian L
130 Fisher Rd., Ste. #3-1 Fahc-Berlin Family Practice, Berlin VT 05602 -
Wasson, Allison Leigh
246 Granger Rd Ste 2 , Berlin VT 05641-5352 -
Goulding, Jonna Coxon
130 Fisher Rd , Berlin VT 05602-9516