Lian, Lisa

Lian, Lisa is an individual health care provider with primary practice located at 19 Wills Way , Piscataway NJ 08854-3770. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lian, Lisa can be contacted via phone (732) 733-2166.

Contact Information

Primary practice address
19 Wills Way Piscataway NJ 08854-3770
Phone: (732) 733-2166
Fax: (732) 733-4012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 060110 New York
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02697300 New Jersey

Profile Details

NPI number 1669832523
LBN Legal business name Lian, Lisa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2016
Last updated Dec 17th, 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 1669832523 NPPES
New York Other 060110 NEW YORK STATE DENTAL LICENSE
New York Other 22DI02697300 NEW YORK STATE DENTAL LICENSE

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