Individual
DR. LAZENI KOULIBALI
Active
Individual
DR. LAZENI KOULIBALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO26795
OR
207Q00000X
Family Medicine Physician
DO26795
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006030
MARION POLK CHP
—
05
—
006030
—
OR
05
—
8460313
—
WA
Enumeration date
08/02/2006
Last updated
12/19/2007
Update your record
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