MRS. Lisa M Egan, MS ED.

NPI #1790040558 in Wheatley Heights, New York

Provider Information

NPI Number: 1790040558
Entity Type: Individual
Name: MRS. Lisa M Egan, MS ED.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS ED.
Enumeration Date: Jul 9, 2012
Last Updated: Jul 9, 2012

Practice Location

Address: 65 BROWN BLVD
City: Wheatley Heights
State: New York
ZIP Code: 11798-1516
Phone: (631) 487-3871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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