Individual
MRS. LISA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NJ00422800
NJ
163W00000X
Registered Nurse
Primary
26NO8284000
NJ
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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