DR. Lisa M Koulish, MD

NPI #1558528125 in White Marsh, Maryland

Provider Information

NPI Number: 1558528125
Entity Type: Individual
Name: DR. Lisa M Koulish, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: May 20, 2008
Last Updated: Nov 30, 2015

Practice Location

Address: 4924 CAMPBELL BOULEVARD
Address 2: SUITE 200
City: White Marsh
State: Maryland
ZIP Code: 21236
Phone: (443) 442-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
Ally Behavior LLC Part of Ally Behavior LLC	Pediatrics	White Marsh	AI Deep Dive

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