Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 25MA09455700 | NJ |
NPI | 1154527141 |
---|---|
Provider Name | Lisa Frances Schneider |
First Address | New York, NY 10003-7211 |
Second Address | Shrewsbury, NJ 07702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 07/06/2018 |