Kotula, Lisa
Kotula, Lisa is an sole proprietor health care provider with primary practice located at 25912 Ashby Dr , Harrison Twp MI 48045-3081. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kotula, Lisa can be contacted via phone (586) 242-6623.Contact Information
Primary practice address
25912 Ashby Dr
Harrison Twp MI 48045-3081
Phone: (586) 242-6623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704212792 | Michigan |
Profile Details
| NPI number | 1639912298 |
|---|---|
| LBN Legal business name | Kotula, Lisa |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2024 |
| Last updated | Jun 13th, 2024 - about 2 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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