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Individual

DR. LISA SIMONE VERNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
85 NAUTILUS DR STE A, MANAHAWKIN, NJ 08050-2448
(609) 807-1414
(609) 382-0707
Mailing address
85 NAUTILUS DR STE A, MANAHAWKIN, NJ 08050-2448
(609) 807-1414
(609) 382-0707

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA08036500
NJ

Other

Enumeration date
02/11/2006
Last updated
04/30/2020
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