| Dr Lisa Li Llc | |
|
225 Route 10 E Suite 101 Succasunna NJ 07876-1300 | |
| (973) 584-1405 | |
| (973) 584-6889 |
| Full Name | Dr Lisa Li Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Route 10 E, Succasunna, New Jersey |
| Authorized Official Name and Position | Lisa Li (PHYSICIAN) |
| Authorized Official Contact | 2018735712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Li Llc 225 Route 10 E Suite 101 Succasunna NJ 07876-1300 Ph: (201) 873-5712 | Dr Lisa Li Llc 225 Route 10 E Suite 101 Succasunna NJ 07876-1300 Ph: (973) 584-1405 |
| NPI Number | 1811268451 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 07/21/2016 |
| Medicare PECOS PAC ID | 7315108826 |
|---|---|
| Medicare Enrollment ID | O20120410000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811268451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MB07630500 (New Jersey) | Primary |
| Provider Name | Lisa Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851326151 PECOS PAC ID: 3678560232 Enrollment ID: I20040427000908 |
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