Lisa M Poulos
Nurse Practitioner | 22+ years Exp
603 Dolley Madison Rd Ste 100, Greensboro
North Carolina, 27410-4282
336-632-3505
Lisa M Poulos is a Greensboro, North Carolina based nurse practitioner with 22 years of experience as Nurse Practitioner. She completed her graduation from University Of Maryland School Of Medicine in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa M Poulos is 950023 for Psych/Mental Health NP in North Carolina. Her current practice location is 603 Dolley Madison Rd Ste 100, Greensboro. Patients can reach her at 336-632-3505 or can fax her at 336-665-6188 with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1174561740.
Lisa M Poulos has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa M Poulos speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa M Poulos |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 22+ years |
| Medical School Attended: | University Of Maryland School Of Medicine |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 603 Dolley Madison Rd Ste 100, Greensboro,
North Carolina, 27410-4282 |
| Phone: | 336-632-3505 |
| Fax: | 336-665-6188 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5698877553 |
| Enrollment ID: | I20160131000005 |
| NPI Number: | 1174561740 |
| NPI Enumeration Date: | 03 Jun, 2006 |
| NPI Last Update On: | 14 Nov, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Poulos are as mentioned below.
| License Number | Specialization | State | Status | |
| 950023 | Psych/Mental Health NP | North Carolina | Primary | |
| 950023 | Registered Nurse | North Carolina | Secondary | |
| 950023 | Clinical Nurse Specialist | North Carolina | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa M Poulos is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Triad Psychiatric And Counseling Center Pa (3173590882) | 15 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa M Poulos
603 Dolley Madison Rd Ste 100,
Greensboro, North Carolina |
| Zip: | 27410-4282 |
| Phone Number: | 336-632-3505 |
| Fax Number: | 336-665-6188 |
Patients can reach Lisa M Poulos at
603 Dolley Madison Rd Ste 100, Greensboro, North Carolina or can
call to book an appointment on 336-632-3505.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.