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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467401760 NPPES
Nebraska Other 37875 BCBS
Nebraska MEDICAID 47083454608 BCBS

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