Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Bodollo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740111913

Lisa Bodollo is a Student in an Organized Health Care Education/Training Program in Teaneck, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

310 Cedar Ln
Teaneck, NJ 07666-3441
Phone: (201) 541-8600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740111913
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2026
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address27 Orchard Rd, Maplewood, NJ 07040-1919

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