Lazeni Koulibali D.O.

NPI 1063429777 - Family Medicine - 207Q00000X

NPI Details
NPI 1063429777
Gender Male
Enumeration Date 08/02/2006
Last Updated 12/19/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
SALEM OR, 97301-3919, US
Phone (503) 561-5634
Business Location
PO BOX 2505
SALEM OR, 97308-2505, US
Phone (888) 828-3198
Taxonomy Code 207Q00000X
License State Oregon
License Number DO26795
Remove 1063429777 NPI Number

According to our database, Dr. Lazeni Koulibali D.O. NPI is 1063429777, taxonomy code is 207Q00000X and license number is DO26795, license state is located at Oregon. Lazeni Koulibali D.O. physically located at 665 Winter St Se, Salem OR, 97301-3919. NPI Number Lazeni Koulibali D.O. has the Individual type.

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1063429777 NPI number is provided on an as is basis without warranty of any kind. 1063429777 is maintained by the National Plan & Provider Enumeration System. The contents of Lazeni Koulibali D.O. are for informational purposes only.