Organization
LC MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN CORRENTE MD (OWNER)
(201) 899-3560
Entity
Organization
Contact information
Practice address
335 CHESTNUT ST, NORWOOD, NJ 07648-0001
(201) 899-3560
(201) 899-3561
Mailing address
335 CHESTNUT ST, NORWOOD, NJ 07648-0001
(201) 899-3560
(201) 899-3561
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA08886400
NJ
208VP0000X
Pain Medicine Physician
25MA08886400
NJ
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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