Lisa Renee Koperna is a Sports in Norfolk, Virginia. Lisa Renee Koperna practices all healthcare services and medical treatments related to Sports. The NPI Number for Lisa Renee Koperna is 1720057110. The last update date is 2016-05-25.
Lisa Renee Koperna's current location address is 1015 W 47th St, Norfolk, Virginia. You can contact this provider via phone number 7576834228 and fax number 7576837050. The mailing address for Lisa Renee Koperna is 1015 W 47th St, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Renee Koperna |
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Address | 1015 W 47th St, Norfolk, Virginia |
Phone Number | 7576834228 |
Fax Number | 7576837050 |
Sole Proprietor | N |
Credentials | PT, DPT, S |
NPI Number Detail
NPI Number | 1720057110 |
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Provider Enumeration Date | 2006-03-16 |
Last Updated Date | 2016-05-25 |
Provider Mailing Address Detail
Address | 1015 W 47th St |
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City | Norfolk |
State | Virginia (VA) |
Post Code | 235290001 |
Phone Number | 7576834228 |
Fax Number | 7576837050 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 2305004592 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique provider identifier assigned to Lisa Renee Koperna?
The Lisa Renee Koperna has been issued the NPI (National Provider Identifier) 1720057110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Lisa Renee Koperna located?
The Lisa Renee Koperna is located at 1015 W 47Th St, Norfolk, VA 235290001.
What is Lisa Renee Koperna's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Renee Koperna is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.
On what date did the Lisa Renee Koperna receive its 1720057110 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Renee Koperna was assigned its 1720057110 by the Centers for Medicare & Medicaid Services on 2006-03-16.
As of what date were the Lisa Renee Koperna's details last updated?
The information pertaining to the Lisa Renee Koperna, including its address, specialty, and other details, was most recently updated on 2016-05-25.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY