Lisa Cannon MD Fccp
NPI #1558316315 in Ho Ho Kus, New Jersey
Provider Information
- NPI Number
- 1558316315
- Entity Type
- Organization
- Organization Name
- Lisa Cannon MD Fccp
- Primary Specialty
- Specialist
- Enumeration Date
- May 23, 2006
- Last Updated
- Nov 2, 2007
Practice Location
- Address
- 110 WARREN AVE
- City
- Ho Ho Kus
- State
- New Jersey
- ZIP Code
- 07423-1566
- Phone
- (201) 251-2525
Authorized Official
- Name
- DR. LISA M CANNON, MD
- Title
- OWNER
- Phone
- (201) 251-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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