Kokontis, Lisa Mary
Kokontis, Lisa Mary is an individual health care provider with primary practice located at 130 2Nd Street West Pavilion 2Nd Floor The Neuroscience Group Of Ne Wi, Neenah WI 54956-2883. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kokontis, Lisa Mary can be contacted via phone (920) 725-9373.Contact Information
Primary practice address
130 2Nd Street West Pavilion 2Nd Floor The Neuroscience Group Of Ne Wi
Neenah WI 54956-2883
Phone: (920) 725-9373
Fax: (920) 720-7392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 40464 | Wisconsin |
Profile Details
| NPI number | 1487604526 |
|---|---|
| LBN Legal business name | Kokontis, Lisa Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1487604526 | NPPES |
| Wisconsin | MEDICAID | 32494700 |
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