Individual
MS. LISA M KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17021 LAKESIDE HILLS PLZ, SUITE 100, OMAHA, NE 68130-2390
(402) 333-0300
(402) 333-0302
Mailing address
17021 LAKESIDE HILLS PLZ, SUITE 100, OMAHA, NE 68130-2390
(402) 333-0300
(402) 333-0302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110676
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37875
BCBS
NE
05
—
47083454608
—
NE
Enumeration date
05/06/2006
Last updated
04/16/2015
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