| Doctor Name: | MRS. LISA SPURLOCK ABRAMS |
| NPI Number: | 1023267838 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00170100 |
| Business Practice Address: | 765 E Route 70 Building A Marlton, NJ - 080532341 |
| Business Phone Number: | 8567974721 |
| Business Fax Number: | |
| Mailing Address: | 765 E Route 70, Building A MARLTON |
| State: | NJ |
| Postal Code: | 080532341 |
| Phone Number: | 8567974721 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2008 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | 26NJ00170100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |