Active NPIIndividual provider

Lisa D Iucci, DO

Surgery in Egg Harbor Township, New Jersey

NPI Number1275975161
Practice location
4096 English Creek Ave, Egg Harbor Township, NJ 08234-5746
Fax
609-272-7755
Last updated
April 18, 2024

Lisa Diane Iucci is a Surgery based in Egg Harbor Township, NJ. Lisa Diane Iucci practices in Egg Harbor Township, NJ and has the professional credentials of DO. The NPI Number for Lisa Diane Iucci is 1275975161 and holds a License No. 25MB10400100 (NJ). The current practice location address for Lisa Diane Iucci is 4096 English Creek Ave, Egg Harbor Township, NJ 08234-5746 and can be reached out via phone at 609-204-5357 and via fax at 609-272-7755.

Provider Profile Details

NPI Number
1275975161
Provider Name
Lisa Diane Iucci
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4096 English Creek Ave, Egg Harbor Township, NJ 08234-5746
Phone Number
609-204-5357
Fax Number
609-272-7755
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Other Names
-- Lisa Diane Harasymczuk, DO (Former Name)
Provider Enumeration Date
July 22, 2013
Last Update Date
April 18, 2024
Certification Date
April 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4096 English Creek Ave
Egg Harbor Township, NJ 08234-5746
Zip
08234-5746
Phone Number
609-204-5357
Fax Number
609-272-7755
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
200 Schulz Dr Ste 2
Red Bank, NJ 07701-6745
City
Red Bank
State
NJ
Zip
07701-6745
Phone Number
327-426-3420
Fax Number
732-747-2606

License Information

License Number
25MB10400100
License State
NJ
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa D Iucci, DO?

The NPI number of Lisa D Iucci, DO is 1275975161. It was assigned on July 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Lisa D Iucci, DO?

Lisa D Iucci, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MB10400100.

Where does Lisa D Iucci, DO practice?

The practice location is 4096 English Creek Ave, Egg Harbor Township, NJ 08234-5746. The office can be reached at 609-204-5357 (phone) or 609-272-7755 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275975161 directly on the NPPES registry website.

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