Hauck, Lisanne

Hauck, Lisanne is an individual health care provider with primary practice located at 1 Robert Wood Johnson Pl Robert Wood Johnson University Hospital - New Brunswick, New Brunswick NJ 08901-1928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Hauck, Lisanne can be contacted via phone (732) 235-7900.

Contact Information

Primary practice address
1 Robert Wood Johnson Pl Robert Wood Johnson University Hospital - New Brunswick New Brunswick NJ 08901-1928
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 25MA07333200 New Jersey

Profile Details

NPI number 1013076975
LBN Legal business name Hauck, Lisanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Feb 7th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013076975 NPPES
New Jersey MEDICAID 8743401

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