Dimedio, Lisa Carlene
Dimedio, Lisa Carlene is an sole proprietor health care provider with primary practice located at 354 Hurffville Crosskeys Rd Bldg 2 , Sewell NJ 08080-3552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dimedio, Lisa Carlene can be contacted via phone (844) 542-2273.Contact Information
Primary practice address
354 Hurffville Crosskeys Rd Bldg 2
Sewell NJ 08080-3552
Phone: (844) 542-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB06370800 | New Jersey |
Profile Details
| NPI number | 1013028844 |
|---|---|
| LBN Legal business name | Dimedio, Lisa Carlene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 16th, 2023 - 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 | 1013028844 | NPPES |
| New Jersey | MEDICAID | 7042205 |
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