Raacke, Lisa

Raacke, Lisa is an individual health care provider with primary practice located at 20 Prospect Ave Ste 613 , Hackensack NJ 07601-1962. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Raacke, Lisa can be contacted via phone (201) 336-8111.

Contact Information

Primary practice address
20 Prospect Ave Ste 613 Hackensack NJ 07601-1962
Phone: (201) 336-8111
Fax: (201) 336-8445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1677921 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08360000 New Jersey

Profile Details

NPI number 1346215126
LBN Legal business name Raacke, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Feb 25th, 2009 - about 15 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 1346215126 NPPES
New York MEDICAID 01590596
New York Other 110166628

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