Lisa Beth Kogan, P.A. Valid NPI

Individual provider · Physician Assistant · Wayne, NJ

NPI

1265679708

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

25MP00187800 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2009-01-20

Last updated

2011-08-02