Dr. Lisa Marie Sheppard, MD
Radiology, Diagnostic Radiology in Paterson, NJ. Individual provider (NPI-1).
NPI number1083673479
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1083673479
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Marie Sheppard
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD044023E | PA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 039123 | CT | |
| 2085R0202X | Radiology, Diagnostic Radiology | 209589 | MA | |
| 2085R0202X | Radiology, Diagnostic Radiology | ME75363 | FL | |
| 2085R0202X | Radiology, Diagnostic Radiology | CI0007032 | DE | |
| 2085R0202X | Radiology, Diagnostic Radiology | M8820 | ID | |
| 2085R0202X | Radiology, Diagnostic Radiology | 01048566a | IN | |
| 2085R0202X | Radiology, Diagnostic Radiology | 015679 | ME | |
| 2085R0202X | Radiology, Diagnostic Radiology | 00057528 | MD | |
| 2085R0202X | Radiology, Diagnostic Radiology | 0474456 | MI | |
| 2085R0202X | Radiology, Diagnostic Radiology | 10311 | MT | |
| 2085R0202X | Radiology, Diagnostic Radiology | 11256 | NH | |
| 2085R0202X | Radiology, Diagnostic Radiology | MA53519 | NJ | |
| 2085R0202X | Radiology, Diagnostic Radiology | 179324-1 | NY | |
| 2085R0202X | Radiology, Diagnostic Radiology | 10485 | RI |
Practice location
680 Broadway Ste 111Paterson, NJ 07514-1526
Phone 973-977-6662 · Fax 973-341-1128
Mailing address
31 Park Hill TerracePrinceton Junction, NJ 08550-1944
Phone 908-284-2300 · Fax 908-442-7432
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