Provider Demographics
NPI:1770711723
Name:KOHLER, LISA JO (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:JO
Last Name:KOHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:KOHLER
Other - Last Name:SCHMITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:85 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1950
Mailing Address - Country:US
Mailing Address - Phone:330-643-2101
Mailing Address - Fax:330-643-2100
Practice Address - Street 1:85 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1950
Practice Address - Country:US
Practice Address - Phone:330-643-2101
Practice Address - Fax:330-643-2100
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075429207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology