Individual
LISE MILFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 KELLY DR, BRANCHBURG, NJ 08853-4044
(732) 998-3399
Mailing address
324 KELLY DR, BRANCHBURG, NJ 08853-4044
(732) 998-3399
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07080900
NJ
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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