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Individual

LISA DRAUCIKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1114 GOFFLE RD, SUITE 103, HAWTHORNE, NJ 07506-2014
(973) 423-1364
Mailing address
1114 GOFFLE RD, SUITE 103, HAWTHORNE, NJ 07506-2014
(973) 423-1364

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09502400
NJ

Other

Enumeration date
10/09/2013
Last updated
08/18/2014
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