Malak, Lisa

Malak, Lisa is an individual health care provider with primary practice located at 106 Bridge Ave Ste 6 , Bay Head NJ 08742-5073. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Malak, Lisa can be contacted via phone (732) 996-6935.

Contact Information

Primary practice address
106 Bridge Ave Ste 6 Bay Head NJ 08742-5073
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00963300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00963300 New Jersey

Profile Details

NPI number 1093365199
LBN Legal business name Malak, Lisa
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2019
Last updated May 9th, 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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