Healthcare Provider Details

I. General information

NPI: 1457309825
Provider Name (Legal Business Name): LISA C. LAPHAN R.N., A.P.N.- C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 ROUTE 70 E
CHERRY HILL NJ
08003-2117
US

IV. Provider business mailing address

1935 ROUTE 70 E
CHERRY HILL NJ
08003-2117
US

V. Phone/Fax

Practice location:
  • Phone: 856-428-7700
  • Fax: 856-424-9120
Mailing address:
  • Phone: 856-428-7700
  • Fax: 856-424-9120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number26NN09785600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: