Individual
DR. LISA L KOZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 712-4500
(701) 712-4098
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 712-4500
(701) 712-4098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7620
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10640
—
ND
Enumeration date
06/02/2006
Last updated
06/14/2023
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