Kozlowski, Lisa
Kozlowski, Lisa is an individual health care provider with primary practice located at 325 Essjay Rd , Williamsville NY 14221-8243. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Kozlowski, Lisa can be contacted via phone (716) 630-1146.Contact Information
Primary practice address
325 Essjay Rd
Williamsville NY 14221-8243
Phone: (716) 630-1146
Fax: (716) 817-1730
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 179577 | New York |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 179577 | New York |
Profile Details
NPI number | 1548248834 |
---|---|
LBN Legal business name | Kozlowski, Lisa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2006 |
Last updated | Dec 20th, 2021 - about 3 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 | 1548248834 | NPPES |
Other | 00040270604 | UNIVERA | |
Other | RB6955 | UNIVERA | |
MEDICAID | 01504856 | UNIVERA | |
Other | 2198090 | UNIVERA |
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