Individual
MRS. LISA MARIE KOVACEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 228-3100
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200750052NP
OR
363LX0106X
Occupational Health Nurse Practitioner
Primary
200750052NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006322
—
OR
Enumeration date
08/10/2007
Last updated
04/08/2026
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