Lisa C Ezegbu, MD
Internal Medicine in Atlantic City, New Jersey
1508419292- Practice location
- 2015 Pacific Ave, Atlantic City, NJ 08401-6726
- Phone
- 609-449-4391
- Fax
- —
- Last updated
- October 6, 2022
Lisa Chinweifenu Ezegbu is an Internal Medicine based in Atlantic City, NJ. Lisa Chinweifenu Ezegbu practices in Atlantic City, NJ and has the professional credentials of MD. The NPI Number for Lisa Chinweifenu Ezegbu is 1508419292 and holds a License No. 25MA11406000 (NJ). The current practice location address for Lisa Chinweifenu Ezegbu is 2015 Pacific Ave, Atlantic City, NJ 08401-6726 and can be reached out via phone at 609-449-4391.
Provider Profile Details
- NPI Number
- 1508419292
- Provider Name
- Lisa Chinweifenu Ezegbu
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2015 Pacific Ave, Atlantic City, NJ 08401-6726
- Phone Number
- 609-449-4391
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 22, 2019
- Last Update Date
- October 6, 2022
- Certification Date
- October 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2015 Pacific Ave
Atlantic City, NJ 08401-6726 - City
- Atlantic City
- State
- New Jersey
- Zip
- 08401-6726
- Phone Number
- 609-449-4391
Provider Business Mailing Address Details
- Address
- 2015 Pacific Ave
Atlantic City, NJ 08401-6726 - City
- Atlantic City
- State
- NJ
- Zip
- 08401-6726
- Phone Number
- 609-449-4391
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MA11406000
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 C Ezegbu, MD?
The NPI number of Lisa C Ezegbu, MD is 1508419292. It was assigned on July 22, 2019 and is currently active in the NPPES registry.
What is the specialty of Lisa C Ezegbu, MD?
Lisa C Ezegbu, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA11406000.
Where does Lisa C Ezegbu, MD practice?
The practice location is 2015 Pacific Ave, Atlantic City, NJ 08401-6726. The office can be reached at 609-449-4391 (phone).
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 1508419292 directly on the NPPES registry website.