Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA056220 | NJ |
NPI | 1003801259 |
---|---|
Provider Name | Dr. Lauren G Rispoli |
First Address | East Hanover, NJ 07936-3104 |
Second Address | Verona, NJ 07044-1818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 12/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5570301 | (05) | NJ |
F57988 | (02) |