Individual
DR. LISA ADAMS STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
509 S. LENOLA RD, SUITE 4A, MOORESTOWN, NJ 08057
(856) 439-9300
(856) 439-1190
Mailing address
509 S. LENOLA RD, SUITE 4A, MOORESTOWN, NJ 08057
(856) 439-9300
(856) 439-1190
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB04099100
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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