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NPI Code Detail

MEDICARE: LISA WEISSBACH-EFRAT LSW

MEDICARE: LISA WEISSBACH-EFRAT LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSL053485NJ

General Provider Information

NPI Number : 1518103738
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA WEISSBACH-EFRAT LSW
Provider Business Mailing Address
First Line : 1301 SPRINGDALE RD
Second Line : SUITE 150
City : CHERRY HILL
State : NJ
Zip : 08003-2763
Country : US
Telephone Number : 856-424-1333
Fax Number : 856-424-7384
Provider Business Practice Location Address
First Line : 702 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 856-778-7775
Fax Number : 856-778-7710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2008
Last Update Date : 12/17/2008

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Directions to “ LISA WEISSBACH-EFRAT LSW” Practice Location

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