Dever, Lisa Lynn
Dever, Lisa Lynn is an individual health care provider with primary practice located at 140 Bergen St Acc Level D, Newark NJ 07103-2425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Dever, Lisa Lynn can be contacted via phone (973) 972-4071.Contact Information
Primary practice address
140 Bergen St Acc Level D
Newark NJ 07103-2425
Phone: (973) 972-4071
Fax: (973) 972-3102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 25MA05839800 | New Jersey |
Profile Details
| NPI number | 1619901014 |
|---|---|
| LBN Legal business name | Dever, Lisa Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619901014 | NPPES |
| New Jersey | MEDICAID | 0101311 |
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