Active NPIIndividual providerSole proprietor

Lysa M Hannigan

Specialist/Technologist, Other, Art, Medical in Marlton, New Jersey

NPI Number1952990442
Practice location
525 Route 73 N Ste 117, Marlton, NJ 08053-3422
Fax
—
Last updated
February 13, 2023

Lysa Marie Hannigan is a Specialist/Technologist, Other, Art, Medical based in Marlton, NJ. Lysa Marie Hannigan practices in Marlton, NJ. The NPI Number for Lysa Marie Hannigan is 1952990442 and holds a License No. 802-1393 (NY). The current practice location address for Lysa Marie Hannigan is 525 Route 73 N Ste 117, Marlton, NJ 08053-3422 and can be reached out via phone at 856-254-2487.

Provider Profile Details

NPI Number
1952990442
Provider Name
Lysa Marie Hannigan
Provider Entity Type
Individual
Gender
Female
Address
525 Route 73 N Ste 117, Marlton, NJ 08053-3422
Phone Number
856-254-2487
Primary Taxonomy
Specialist/Technologist, Other, Art, Medical · 246ZA2600X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2021
Last Update Date
February 13, 2023
Certification Date
February 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Zip
08053-3422
Phone Number
856-254-2487
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
6558 Cedar Ave
Pennsauken, NJ 08109-2402
City
Pennsauken
State
NJ
Zip
08109-2402
Phone Number
609-221-2611

License Information

License Number (1)
802-1393
License State (1)
NY
License Number (2)
55-203785-TT-A
License State (2)
NJ
Taxonomy (3)
Specialist/Technologist, Other, Art, Medical · 246ZA2600X · 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 Lysa M Hannigan?

The NPI number of Lysa M Hannigan is 1952990442. It was assigned on January 11, 2021 and is currently active in the NPPES registry.

What is the specialty of Lysa M Hannigan?

Lysa M Hannigan is registered under the primary taxonomy Specialist/Technologist, Other, Art, Medical (code 246ZA2600X), licensed in NY under license number 802-1393.

Where does Lysa M Hannigan practice?

The practice location is 525 Route 73 N Ste 117, Marlton, NJ 08053-3422. The office can be reached at 856-254-2487 (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 1952990442 directly on the NPPES registry website.

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