Lisa Draucikas
Family Doctor
1114 Goffle Rd Suite 103
Hawthorne
, New Jersey 07506-2014
Lisa Draucikas
Family Doctor
1114 Goffle Rd Suite 103
Hawthorne
, New Jersey 07506-2014
(973) 423-1364
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Lisa Draucikas
- 1114 Goffle Rd Suite 103
- Hawthorne, NJ
- Zip : 07506-2014
- Phone : (973) 423-1364
Second Address
- Lisa Draucikas
- 1114 Goffle Rd Suite 103
- Hawthorne, NJ
- Zip : 07506-2014
- Phone : (973) 423-1364
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 25MB09502400 | NJ |
National Provider Identifier
| NPI | 1003243981 |
|---|---|
| Provider Name | Lisa Draucikas |
| First Address | Hawthorne, NJ 07506-2014 |
| Second Address | Hawthorne, NJ 07506-2014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2013 |
| Last Update Date | 18/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.