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
Phone: (732) 996-6935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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