Clancy, Lisa
Clancy, Lisa is an individual health care provider with primary practice located at 25B Vreeland Rd , Florham Park NJ 07932-1900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Clancy, Lisa can be contacted via phone (973) 660-9334.Contact Information
Primary practice address
25B Vreeland Rd
Florham Park NJ 07932-1900
Phone: (973) 660-9334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA05839500 | New Jersey |
Profile Details
| NPI number | 1922173467 |
|---|---|
| LBN Legal business name | Clancy, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | May 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922173467 | NPPES |
| New Jersey | MEDICAID | 5304008 |
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