Individual
LISA ANN SOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 HWY 36 STE 2K, WEST LONG BRANCH, NJ 07764-1453
(732) 531-6600
Mailing address
1011 WAVERLY AVE, NEPTUNE, NJ 07753-3195
(732) 859-6935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15095700
NJ
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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