Individual
MS. LISA ANNE COOLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-5709
(336) 716-2255
Mailing address
23 WHISPER LN, WANTAGH, NY 11793-1231
(516) 520-7792
(516) 731-3758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013906
NC
363LW0102X
Women's Health Nurse Practitioner
F420719
NY
Other
Enumeration date
07/01/2008
Last updated
02/04/2025
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