# LISA VERNON MD FACOG LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992290894
- **Authorized official:** DR. LISA VERNON MD (PRESIDENT)
- **Authorized official phone:** (609) 807-1414

## Contact information

- **Practice address:** 85 NAUTILUS DR, MANAHAWKIN, NJ 08050-2594
- **Practice address phone:** (609) 807-1414
- **Practice address fax:** (609) 382-0707
- **Mailing address:** 85 NAUTILUS DR STE A&B, MANAHAWKIN, NJ 08050-2448
- **Mailing address phone:** (609) 807-1414
- **Mailing address fax:** (609) 382-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 11/11/2020