Individual
NATALIYA LIZANETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1030 SAINT GEORGES AVE STE 302, AVENEL, NJ 07001-1330
(732) 750-1200
Mailing address
1030 SAINT GEORGES AVE STE 302, AVENEL, NJ 07001-1330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14890400
NJ
363LF0000X
Family Nurse Practitioner
26NJ14890400
NJ
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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