Individual
LISA K KOERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
436 E 69TH ST, NEW YORK, NY 10021-5604
(646) 697-9355
(646) 697-0999
Mailing address
436 E 69TH ST, NEW YORK, NY 10021-5604
(646) 697-9355
(646) 697-9355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078260A
IN
Other
Enumeration date
06/14/2013
Last updated
09/13/2023
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