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Lisa Cannon Md Fccp
Specialist in Ho Ho Kus, New Jersey
NPI 1558316315

Lisa Cannon Md Fccp is a Specialist based in Wyckoff, NJ. Lisa Cannon Md Fccp practices in Ho Ho Kus, NJ. The NPI Number for Lisa Cannon Md Fccp is 1558316315 and holds a License No. MA69017 (New Jersey).

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

Location: 110 Warren Ave, Ho Ho Kus, NJ, 07481-0158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558316315
Provider Name
Lisa Cannon Md Fccp
Credential
Provider Entity Type
Organization
Address
110 Warren Ave, Ho Ho Kus, NJ, 07481-0158
Phone Number
201-251-2525
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3344304 05 NJ
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
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
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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