Lisa M Micik, PA-C

NPI #1003826157 in Paramus, New Jersey

Provider Information

NPI Number: 1003826157
Entity Type: Individual
Name: Lisa M Micik, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 9, 2006
Last Updated: Jun 17, 2014

Practice Location

Address: 1 W RIDGEWOOD AVE
Address 2: SUITE 103
City: Paramus
State: New Jersey
ZIP Code: 07652-2359
Phone: (201) 857-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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