Koulish, Lisa M

Koulish, Lisa M is an individual health care provider with primary practice located at 4924 Campbell Boulevard Suite 200, White Marsh MD 21236. 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 / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Koulish, Lisa M can be contacted via phone (443) 442-2300.

Contact Information

Primary practice address
4924 Campbell Boulevard Suite 200 White Marsh MD 21236
Phone: (443) 442-2300
Fax:
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 / Pediatrics 208000000X D0067689 Maryland

Profile Details

NPI number 1558528125
LBN Legal business name Koulish, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Nov 30th, 2015 - about 11 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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