Individual
JENNIFER LISIMACHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
320 1/2 WEBSTER AVE, JERSEY CITY, NJ 07307-1177
(917) 312-5700
Mailing address
320 1/2 WEBSTER AVE, JERSEY CITY, NJ 07307-1177
(917) 312-5700
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11197443
NJ
Other
Enumeration date
01/18/2012
Last updated
05/14/2013
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