Individual
DR. LISA DIANE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
860 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2018
(609) 567-0200
(609) 567-1951
Mailing address
PO BOX 1309, MARLTON, NJ 08053-6309
(609) 567-0200
(609) 704-5615
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07918100
NJ
208000000X
Pediatrics Physician
D0080347
MD
208D00000X
General Practice Physician
C10009764
DE
Other
Enumeration date
10/21/2005
Last updated
08/31/2023
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