Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYSA MARIE HANNIGAN
Active Sole ProprietorLYSA MARIE HANNIGAN is a Anesthesiologist Assistant healthcare provider located in MARLTON, New Jersey. NPI 1952990442 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · MARLTON, NJ
Registration Details
- NPI Number
- 1952990442
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2021 (5.6120358340017 yrs)
- Last Updated
- Feb 13, 2023
- Licenses
-
802-1393 (NY)55-203785-TT-A (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
525 ROUTE 73 N STE 117MARLTON, NJ, 080533422Browse NJ providers · Browse ZIP 08053
- Phone
- 8562542487
- Primary Specialty
-
Anesthesiologist Assistant
246ZA2600X
- Additional Specialty
- Anesthesiologist Assistant
- Additional Specialty
- Anesthesiologist Assistant
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.