Most Relevant Information
Provider Data
| NPI Number: | 1003243981 |
| Provider Name: | LISA DRAUCIKAS D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 25MB09502400 |
Most Important Dates
| Enumeration Date: | 10/09/2013 |
| Last Updated: | 08/18/2014 |
Provider Practice Location
1114 GOFFLE RD
SUITE 103
HAWTHORNE
NJ
075062014
Practice Location Phone/Fax
| Phone: | 9734231364 |
| Fax: |
Provider Mailing Location
1114 GOFFLE RD
SUITE 103
HAWTHORNE
NJ
075062014
Provider Mailing Phone/Fax
| Phone: | 9734231364 |
| Fax: |
Suggested EMR
Family Practice EMR