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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA RENEE WHITEHEAD, RRT

Active

MS. LISA RENEE WHITEHEAD, RRT is a 2279P1005X healthcare provider located in LAURENCE HARBOR, New Jersey. NPI 1639559776 is currently active in the NPPES registry. Verify at CMS.

2279P1005X · LAURENCE HARBOR, NJ

Registration Details

NPI Number
1639559776
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2015 (11.156454722112 yrs)
Last Updated
Jun 3, 2015
License
43ZA00088300 (NJ)

Practice Information

Address
31 HANNA LN
LAURENCE HARBOR, NJ, 088792929
Browse NJ providers · Browse ZIP 08879
Phone
9084614641
Primary Specialty
2279P1005X
2279P1005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.