Provider Demographics
NPI:1093794380
Name:KUHAR, LISA A (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:A
Last Name:KUHAR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 W 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4110
Mailing Address - Country:US
Mailing Address - Phone:509-979-6666
Mailing Address - Fax:
Practice Address - Street 1:149 HART ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SHEPPARD AFB
Practice Address - State:TX
Practice Address - Zip Code:76311-3477
Practice Address - Country:US
Practice Address - Phone:940-676-6509
Practice Address - Fax:940-676-7626
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 00026201207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD 00026201OtherMED LICENSE
MO36710OtherMEDICAL LICENSE