Lianidis, Despina

Lianidis, Despina is an individual health care provider with primary practice located at 131 Route 70 Ste 100 , Medford NJ 08055-9501. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lianidis, Despina can be contacted via phone (609) 267-9400.

Contact Information

Primary practice address
131 Route 70 Ste 100 Medford NJ 08055-9501
Phone: (609) 267-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00736200 New Jersey

Profile Details

NPI number 1790430692
LBN Legal business name Lianidis, Despina
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2022
Last updated Sep 27th, 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.

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