Individual
MS. LISA JOANNE REPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, 3 EDMUND PELLEGRINO DR., STONY BROOK, NY 11794-0001
(631) 638-1000
(631) 444-7530
Mailing address
STONY BROOK UNIVERSITY MEDICAL CTR, 3 EDMUND PELLEGRINO DR., STONY BROOK, NY 11794-0001
(631) 638-1000
(631) 444-7530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305836
NY
Other
Enumeration date
12/15/2011
Last updated
02/06/2013
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