Dr MARY KOUMAS is a female medical professional, specializing in Family Medicine. She graduated in 1978 from Kirksville College Of Osteopathic Medicine.
LAKE FOREST MEDICAL GROUP, INC.
24401 MUIRLANDS BLVD A
LAKE FOREST
CA
926303921
Tel: 7147701950
| Npi | 1306838909 |
| Pac Id | 2769549310 |
| Professional Enrollment Id | I20090325000724 |
| Last Name | KOUMAS |
| First Name | MARY |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Organization Legal Name | LAKE FOREST MEDICAL GROUP, INC. |
| Group Practice Pac Id | 3274594650 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 24401 MUIRLANDS BLVD A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 926303921 |
| Phone Number | 7147701950 |
| Hospital Affiliation Ccn 1 | 050603 |
| Hospital Affiliation Lbn 1 | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 050567 |
| Hospital Affiliation Lbn 2 | MISSION HOSPITAL REGIONAL MED CENTER |
| Hospital Affiliation Ccn 3 | 050224 |
| Hospital Affiliation Lbn 3 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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