Individual
MS. LISA LEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 HIGHWAY 35 N, NEPTUNE, NJ 07753
(732) 456-7777
(848) 251-2189
Mailing address
1580 LAKEWOOD RD STE 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00030100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1147464
AMERIGROUP
NJ
01
—
9925222
AETNA PPO
NJ
01
—
P5985339
OXFORD
NJ
Enumeration date
06/09/2006
Last updated
08/04/2021
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