MEDICARE: DR. LISA MORROW DNP, FNP, L.AC.

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
1	171100000X	Acupuncturist	003483	NY
2	163W00000X	Registered Nurse	659224	NY
3	363LF0000X	Family Nurse Practitioner	338495	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174849640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA MORROW DNP, FNP, L.AC.

Provider Business Mailing Address
First Line	:	5997 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1602
Country	:	US
Telephone Number	:	717-745-6462
Fax Number	:

Provider Business Practice Location Address
First Line	:	5997 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1602
Country	:	US
Telephone Number	:	914-522-7468
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2010
Last Update Date	:	12/28/2016

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