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Individual

LISA LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
225 ROUTE 10 E, SUITE 201, SUCCASUNNA, NJ 07876-1300
(973) 584-1405
(973) 584-6889
Mailing address
225 ROUTE 10 E, STE 101, SUCCASUNNA, NJ 07876-1300
(973) 989-3085
(973) 989-3106

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB07630500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0131482
NJ
Enumeration date
07/12/2006
Last updated
03/13/2020
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