Soussan, Louisette Lise

Soussan, Louisette Lise is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Soussan, Louisette Lise can be contacted via phone (607) 547-7608.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Phone: (607) 547-7608
Fax: (607) 547-3259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 287524 New York

Profile Details

NPI number 1811263569
LBN Legal business name Soussan, Louisette Lise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Oct 17th, 2017 - about 8 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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