Individual
LISA MARIE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
17 KLINE BLVD, WHITEHOUSE STATION, NJ 08889-3666
(908) 797-2872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01373300
NJ
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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