Lisa M Cannon is a Specialist in Wyckoff, New Jersey. Lisa M Cannon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lisa M Cannon is 1073562773. The last update date is 2009-11-20.
Lisa M Cannon's current location address is Po Box 158, Wyckoff, New Jersey. You can contact this provider via phone number 2015129494 and fax number 2015121995. The mailing address for Lisa M Cannon is Po Box 158, Wyckoff, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa M Cannon |
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Address | Po Box 158, Wyckoff, New Jersey |
Phone Number | 2015129494 |
Fax Number | 2015121995 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1073562773 |
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Provider Enumeration Date | 2006-05-09 |
Last Updated Date | 2009-11-20 |
Provider Mailing Address Detail
Address | Po Box 158 |
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City | Wyckoff |
State | New Jersey (NJ) |
Post Code | 74810158 |
Phone Number | 2015129494 |
Fax Number | 2015121995 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MA69017 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Post Comment/ Review Below
What is the unique identification code assigned to Lisa M Cannon by the Centers for Medicare & Medicaid Services?
The Lisa M Cannon has been issued the NPI (National Provider Identifier) 1073562773. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lisa M Cannon is located?
The Lisa M Cannon is situated at the following address: Po Box 158, Wyckoff, NJ, 74810158.
What is Lisa M Cannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa M Cannon is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Lisa M Cannon receive its 1073562773 assignment from the Centers for Medicare & Medicaid Services?
The Lisa M Cannon was assigned its 1073562773 by the Centers for Medicare & Medicaid Services on 2006-05-09.
When was the information regarding Lisa M Cannon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa M Cannon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-20.
NPI Number: 1215930425
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