Individual provider · Type 1 NPI

Lisa Brenner

Specialist · Smithtown, NY

NPI number 1629333984 Active

Practice location

62 St. Nicholas Ave.
Smithtown, NY 11787

Call (631) 361-6051 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1629333984

Lisa Brenner's National Provider Identifier is 1629333984, issued on Jul 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Smithtown, NY. The record was last updated on Jul 11, 2012.