Doctor Name: | DR. LISA J CIANCIULLI |
NPI Number: | 1306817580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 38MC00429300 |
Business Practice Address: | 422 Elmora Ave Elizabeth, NJ - 072081553 |
Business Phone Number: | 9082896515 |
Business Fax Number: | 9082893631 |
Mailing Address: | 422 Elmora Ave, ELIZABETH |
State: | NJ |
Postal Code: | 072081553 |
Phone Number: | 9082896515 |
Fax Number: | 9082893631 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 38MC00429300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |