Micik, Lisa M

Micik, Lisa M is an individual health care provider with primary practice located at 1 W Ridgewood Ave Suite 103, Paramus NJ 07652-2359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Micik, Lisa M can be contacted via phone (201) 857-4200.

Contact Information

Primary practice address
1 W Ridgewood Ave Suite 103 Paramus NJ 07652-2359
Phone: (201) 857-4200
Fax: (201) 857-4199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010318 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MP00136000 New Jersey

Profile Details

NPI number 1003826157
LBN Legal business name Micik, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 17th, 2014 - about 10 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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