NPI 1063429777

Lazeni Koulibali, DO

Practitioner Emergency Medicine Physician Salem, OR

Practice location

Address: 665 Winter St SE, Salem, OR 97301-3919
Phone: (503) 561-5634
Mailing address: PO Box 2505, Salem, OR 97308-2505

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence DO26795 (OR)

Other Emergency Medicine providers in Oregon →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO26795 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1063429777
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2006
Record last updated: 19 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.