Reid, Lisa M

Reid, Lisa M is an individual health care provider with primary practice located at 3 Cooper Plz Suite 411, Camden NJ 08103-1438. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Reid, Lisa M can be contacted via phone (856) 342-2270.

Contact Information

Primary practice address
3 Cooper Plz Suite 411 Camden NJ 08103-1438
Fax: (856) 365-1180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA07193100 New Jersey

Profile Details

NPI number 1215041470
LBN Legal business name Reid, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 25th, 2019 - about 6 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 1215041470 NPPES
New Jersey Other 2802440000 AMERIHEALTH/KEYSRTON/IBC
New Jersey Other 3K6080 AMERIHEALTH/KEYSRTON/IBC
New Jersey Other 60027480 AMERIHEALTH/KEYSRTON/IBC
New Jersey Other P3723063 AMERIHEALTH/KEYSRTON/IBC
New Jersey Other 2257314 AMERIHEALTH/KEYSRTON/IBC
New Jersey Other 01007803000 AMERIHEALTH/KEYSRTON/IBC
New Jersey MEDICAID 0112259 AMERIHEALTH/KEYSRTON/IBC
New Jersey Other 2710436 AMERIHEALTH/KEYSRTON/IBC
New Jersey Other 1419072 AMERIHEALTH/KEYSRTON/IBC

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