Individual
DR. LISA N GALLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
24 E MAIN ST, MARLTON, NJ 08053-2157
(856) 983-0546
(856) 596-3093
Mailing address
24 E MAIN ST, MARLTON, NJ 08053-2157
(856) 983-0546
(856) 596-3093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102174500
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/13/2007
Last updated
08/11/2022
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