| Doctor Name: | LISA E KNOFLICEK |
| NPI Number: | 1720184807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 25MA08104800 |
| Business Practice Address: | 817 Federal Street Camden, NJ - 08103 |
| Business Phone Number: | 8565419811 |
| Business Fax Number: | 8562251678 |
| Mailing Address: | 817 Federal Street, CAMDEN |
| State: | NJ |
| Postal Code: | 08103 |
| Phone Number: | 8565415933 |
| Fax Number: | 8565413340 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 25MA08104800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |