National Provider Identifier Database

LYSA M HANNIGAN
Medical Art Specialist/Technologist

Deactivation Date: 3/31/2023


Contact Information

LYSA M HANNIGAN
525 ROUTE 73 N STE 117
MARLTON, NJ08053-3422
Phone: 856-254-2487
Fax:
Website:
Specialty Taxonomy Code
* Medical Art Specialist/Technologist 246ZA2600X

* Indicates primary specialty

NPI Profile & details for LYSA M HANNIGAN

NPI Number 1952990442
Credentials
Entity Individual
Enumeration date 01/11/2021
Last updated 02/13/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 55-203785-TT-A
  • NY License #: 802-1393
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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