# OUR LADY OF LOURDES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134560824
- **Authorized official:** MS. JENNIFER M LANCE PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (856) 912-6397

## Contact information

- **Practice address:** 1600 HADDON AVE, CAMDEN, NJ 08103-3101
- **Practice address phone:** (856) 757-3500
- **Mailing address:** 1600 HADDON AVE, CAMDEN, NJ 08103-3101
- **Mailing address phone:** (856) 757-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 25MP00311500 | NJ | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/10/2013