Cooper, Lisa M

Cooper, Lisa M is an individual health care provider with primary practice located at 125 16Th Ave E , Seattle WA 98112-5211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Cooper, Lisa M can be contacted via phone (206) 326-3000.

Contact Information

Primary practice address
125 16Th Ave E Seattle WA 98112-5211
Phone: (206) 326-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60187261 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M4006 Texas

Profile Details

NPI number 1609834084
LBN Legal business name Cooper, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 5th, 2021 - about 5 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 1609834084 NPPES
Texas Other 8AC842 BCBSTX PROVIDER NUMBER
Texas MEDICAID 184044902 BCBSTX PROVIDER NUMBER
Texas MEDICAID 184044904 BCBSTX PROVIDER NUMBER

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