Lisa M Cannon MD

NPI 1073562773 - Specialist - 174400000X

NPI Details
NPI 1073562773
Gender Female
Enumeration Date 05/09/2006
Last Updated 11/20/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
HO HO KUS NJ, 07423-1566, US
Phone (201) 251-2525
Fax (201) 251-8488
Business Location
PO BOX 158
WYCKOFF NJ, 07481-0158, US
Phone (201) 512-9494
Fax (201) 512-1995
Taxonomy Code 174400000X
License State New Jersey
License Number MA69017
Remove 1073562773 NPI Number

According to our database, Lisa M Cannon MD NPI is 1073562773, taxonomy code is 174400000X and license number is MA69017, license state is located at New Jersey. Lisa M Cannon MD physically located at 110 Warren Ave, Ho Ho Kus NJ, 07423-1566. NPI Number Lisa M Cannon MD has the Individual type.

1073562773 NPI number is provided on an as is basis without warranty of any kind. 1073562773 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Cannon MD are for informational purposes only.