Iucci, Lisa Diane

Iucci, Lisa Diane is an individual health care provider with primary practice located at 4096 English Creek Ave , Egg Harbor Township NJ 08234-5746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Iucci, Lisa Diane can be contacted via phone (609) 204-5357.

Contact Information

Primary practice address
4096 English Creek Ave Egg Harbor Township NJ 08234-5746
Phone: (609) 204-5357
Fax: (609) 272-7755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MB10400100 New Jersey

Profile Details

NPI number 1275975161
LBN Legal business name Iucci, Lisa Diane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2013
Last updated Apr 18th, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275975161 NPPES
New Jersey MEDICAID 0647276

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