| Doctor Name: | DR. LISA MARIE SHEPPARD |
| NPI Number: | 1083673479 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 209589 |
| Business Practice Address: | 31 Park Hill Terrace Princeton Junction, NJ - 085501944 |
| Business Phone Number: | 6097168131 |
| Business Fax Number: | |
| Mailing Address: | 31 Park Hill Terrace, PRINCETON JUNCTION |
| State: | NJ |
| Postal Code: | 085501944 |
| Phone Number: | 6097168131 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 209589 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |