LISA CHAN NPI 1639540925

NPI Information

NPI: 1639540925
Provider Name: LISA CHAN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
7105 3RD AVE
BROOKLYN, NY
ZIP 11209
Phone: (718) 865-9333
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Lisa Chan is an adult health nurse practitioner in Brooklyn, NY. Lisa Chan NPI is 1639540925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7105 3RD AVE
BROOKLYN, NY
ZIP 11209-308
Phone: (718) 865-9333

The enumeration date for this NPI number is 10/12/2015 and was last updated on 10/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	306604	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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