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Individual

LISA KEBALO-WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(732) 259-6671
Mailing address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(732) 259-6671

Taxonomy

Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
26NR11264700
NJ
163WW0000X
Wound Care Registered Nurse
26NR11264700
NJ
163WX1500X
Ostomy Care Registered Nurse
26NR11264700
NJ
261QV0200X
VA Clinic/Center
26NJ01018400
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01018400
NJ

Other

Enumeration date
03/24/2020
Last updated
11/28/2022
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