LISA MARIE KOUMOULOS

HACKENSACK, NJ
NPI1700482866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ01081600)
Enumeration Date2020-12-04
Last Update Date2025-12-11
Business Address
LISA MARIE KOUMOULOS APN
92 SUMMIT AVE
HACKENSACK, NJ 07601-1263
Phone number: 201-342-0066
Mailing Address
LISA MARIE KOUMOULOS APN
92 SUMMIT AVE
HACKENSACK, NJ 07601-1263
Phone number: 551-206-8615
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