Individual
DR. LISA LEUCHTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6200
Mailing address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(908) 405-8250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB09025900
NJ
Other
Enumeration date
10/28/2011
Last updated
08/30/2016
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