Individual
DR. LISA M O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 ELM AVE, HACKENSACK, NJ 07601-4701
(201) 267-0890
(201) 343-4635
Mailing address
22 ELM AVE, HACKENSACK, NJ 07601-4701
(201) 267-0890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07968400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279676
—
NJ
Enumeration date
11/07/2006
Last updated
08/08/2025
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