Lopez, Lisa

Lopez, Lisa is an individual health care provider with primary practice located at 321 N Warren St , Trenton NJ 08618-4741. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lopez, Lisa can be contacted via phone (609) 278-5900.

Contact Information

Primary practice address
321 N Warren St Trenton NJ 08618-4741
Phone: (609) 278-5900
Fax: (609) 695-3532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA76686 New Jersey

Profile Details

NPI number 1972572394
LBN Legal business name Lopez, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 29th, 2012 - about 13 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 1972572394 NPPES
New Jersey MEDICAID 0045253

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