Provider Demographics
NPI:1558199240
Name:MORROW, LISA (MSED)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:AROCHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2028 CRESTON AVE APT 3N
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4266
Mailing Address - Country:US
Mailing Address - Phone:917-659-6566
Mailing Address - Fax:
Practice Address - Street 1:44 COURT ST STE 1217
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4410
Practice Address - Country:US
Practice Address - Phone:347-479-1868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty