Individual
LISA C DIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2829
(908) 522-6147
Mailing address
PO BOX 416457, BOSTON, MA 02241-1106
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ010669900
NJ
Other
Enumeration date
03/15/2021
Last updated
05/30/2025
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