Provider Demographics
NPI:1447426374
Name:MARENCIN, LISA J (MS)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:J
Last Name:MARENCIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:104 SLEEPY HOLLOW DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5842
Mailing Address - Country:US
Mailing Address - Phone:302-376-3500
Mailing Address - Fax:302-376-5758
Practice Address - Street 1:104 SLEEPY HOLLOW DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5842
Practice Address - Country:US
Practice Address - Phone:302-376-3500
Practice Address - Fax:302-376-5758
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE020000050237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter