Koziol, Lisa M
Koziol, Lisa M is an individual health care provider with primary practice located at 17021 Lakeside Hills Plz Suite 100, Omaha NE 68130-2390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koziol, Lisa M can be contacted via phone (402) 333-0300.Contact Information
Primary practice address
17021 Lakeside Hills Plz Suite 100
Omaha NE 68130-2390
Phone: (402) 333-0300
Fax: (402) 333-0302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 110676 | Nebraska |
Profile Details
| NPI number | 1467401760 |
|---|---|
| LBN Legal business name | Koziol, Lisa M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Apr 16th, 2015 - about 9 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 | 1467401760 | NPPES |
| Nebraska | Other | 37875 | BCBS |
| Nebraska | MEDICAID | 47083454608 | BCBS |
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