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Lisa M Cannon, MD
Specialist in Ho Ho Kus, New Jersey
NPI 1073562773

Lisa M Cannon is a Specialist based in Wyckoff, NJ. Lisa M Cannon practices in Ho Ho Kus, NJ and has the professional credentials of MD. The NPI Number for Lisa M Cannon is 1073562773 and holds a License No. MA69017 (New Jersey).

The current practice location address for Lisa M Cannon is 110 Warren Ave, Ho Ho Kus, NJ and can be reached out via phone at 201-251-2525 and via fax at 201-251-8488.

Location: 110 Warren Ave, Ho Ho Kus, NJ, 07481-0158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073562773
Provider Name
Lisa M Cannon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
110 Warren Ave, Ho Ho Kus, NJ, 07481-0158
Phone Number
201-251-2525
Fax Number
201-251-8488
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 Warren Ave
City
Ho Ho Kus
State
New Jersey
Zip
07423-1566
Phone Number
201-251-2525
Fax Number
201-251-8488
person
Provider Business Mailing Address Details
Address
110 Warren Ave
City
Ho Ho Kus
State
New Jersey
Zip
07423-1566
Phone Number
201-251-2525
Fax Number
201-251-8488
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA69017 (New Jersey)
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.
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