# LCASSISTS

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

## Provider details

- **NPI number:** 1629110515
- **Authorized official:** MS. LORRAINE M CAMPANELLA RNFA (PRESIDENT)
- **Authorized official phone:** (856) 596-2693

## Contact information

- **Practice address:** 2 ASHLEY CT, MEDFORD, NJ 08055-8849
- **Practice address phone:** (856) 596-2693
- **Practice address fax:** (856) 596-2693
- **Mailing address:** 2 ASHLEY CT, MEDFORD, NJ 08055-8849
- **Mailing address phone:** (856) 596-2693
- **Mailing address fax:** (856) 596-2693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 26N005787400 | NJ | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 07/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1629110515 | NPI ID | NJ |
| 01 | — | 26N005787400 | NJ LICENSE | NJ |