O'Donnell, Lisa M
O'Donnell, Lisa M is an individual health care provider with primary practice located at 18 Railroad Ave Suite 103, Rochelle Park NJ 07662-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. O'Donnell, Lisa M can be contacted via phone (201) 928-0748.Contact Information
Primary practice address
18 Railroad Ave Suite 103
Rochelle Park NJ 07662-4105
Phone: (201) 928-0748
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07968400 | New Jersey |
Profile Details
| NPI number | 1487723300 |
|---|---|
| LBN Legal business name | O'Donnell, Lisa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jan 22nd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487723300 | NPPES |
| New Jersey | MEDICAID | 0279676 |
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