Individual provider · Type 1 NPI

Livia Serena Dispenza

Women's Health Nurse Practitioner · Lakewood, NJ

NPI number 1134074958 Active

Practice location

1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894

Mailing address

3011 Pacific Ave
Wall Township, NJ 07719-4522

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X26NJ15689300 (NJ)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1134074958

Livia Serena Dispenza's National Provider Identifier is 1134074958, issued on Feb 27, 2026. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Lakewood, NJ. The record was last updated on Oct 28, 2026.