Individual
LISA MARIE KOYKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8404 27TH ST W, UNIVERSITY PLACE, WA 98466-2723
(253) 900-1605
Mailing address
16306 8TH AVE E, SPANAWAY, WA 98387-7050
(630) 908-9556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041481067
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.025640
IL
Other
Enumeration date
06/10/2021
Last updated
07/07/2025
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