Individual provider · Type 1 NPI

Lisa Abigail Wortzel, DMD

Student in an Organized Health Care Education/Training Program · Mountainside, NJ

NPI number 1366881682 Active

Practice location

1122 Route 22
Mountainside, NJ 07092-2812

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366881682

Lisa Abigail Wortzel, DMD's National Provider Identifier is 1366881682, issued on Jun 19, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mountainside, NJ. The record was last updated on Jun 15, 2015.