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Lisa Still-Dias, LPN

Licensed Practical Nurse in Lawnside, NJ. Individual provider (NPI-1).

NPI number1376796540
StatusActive
Last updated in NPPESOct 31, 2008

Details

NPI
1376796540
Entity type
Individual (NPI-1)
Name
Lisa Still-Dias
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 31, 2008
Last updated
Oct 31, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse26NP05311600NJYes

Practice location

200 Fairview Ave
Lawnside, NJ 08045-1615

Phone 800-950-6066

Mailing address

200 Fairview Ave
Lawnside, NJ 08045-1615

Phone 800-950-6066

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