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Contact Information

LISE M COPE, MD
700 E MARSHALL AVE.
DEPARTMENT OF PATHOLOGY
LONGVIEW, TX75601-5580
 Phone: 903-315-2403
 Fax: 903-315-1832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LISE M COPE · (Female)

NPI Number 1588640007
Status Active
Credentials MD
Entity Individual
Enumeration date 12/16/2005
Last updated 09/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H5594
  • VA Medicaid 010273714
  • Other 011265L84 MEDICARE - LGP
  • VA Other 006600972 MEDICAID - LGP
Hospital affiliation(s)
  • GOOD SHEPHERD MEDICAL CENTER MARSHALL - (Acute Care)
    811 S WASHINGTON
    MARSHALL, TX 75670
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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