Provider Demographics
NPI:1346553674
Name:CAPPA, DANA LYNN (MS, LAC)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:LYNN
Last Name:CAPPA
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 RARITAN AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-3667
Mailing Address - Country:US
Mailing Address - Phone:732-309-1771
Mailing Address - Fax:732-985-6600
Practice Address - Street 1:1001 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-3667
Practice Address - Country:US
Practice Address - Phone:732-309-1771
Practice Address - Fax:732-985-6600
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00066100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist