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Organization

LISA VERNON MD FACOG LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA VERNON MD (PRESIDENT)
(609) 807-1414
Entity
Organization

Contact information

Practice address
85 NAUTILUS DR, MANAHAWKIN, NJ 08050-2594
(609) 807-1414
(609) 382-0707
Mailing address
85 NAUTILUS DR STE A&B, MANAHAWKIN, NJ 08050-2448
(609) 807-1414
(609) 382-0707

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
06/25/2018
Last updated
11/11/2020
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