Basic Information
| Provider Information | |||||||||
| NPI: | 1184779753 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NIERENBERG | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 71 HOLLOW BROOK ROAD | ||||||||
| Address2: | |||||||||
| City: | POTTERSVILLE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9084393981 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6 SAND HILL RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088224946 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087828019 | ||||||||
| FaxNumber: | 9087827195 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2007 | ||||||||
| LastUpdateDate: | 05/15/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MA37750 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.