Lichtman, Lisa B

Lichtman, Lisa B is an individual health care provider with primary practice located at 728 Marne Hwy Ste 100B , Moorestown NJ 08057-3128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lichtman, Lisa B can be contacted via phone (856) 235-6600.

Contact Information

Primary practice address
728 Marne Hwy Ste 100B Moorestown NJ 08057-3128
Fax: (856) 235-6610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB05357200 New Jersey

Profile Details

NPI number 1851371967
LBN Legal business name Lichtman, Lisa B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Oct 19th, 2020 - about 5 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 1851371967 NPPES
New Jersey MEDICAID 2237105

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