Individual
LISA M KILLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6180
Mailing address
3 HART RD, FLEMINGTON, NJ 08822-7042
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR12945800
NJ
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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