Individual
MRS. LALAINE GENUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
803 MAIN ST, TOMS RIVER, NJ 08753-6699
(732) 557-0100
(732) 557-0128
Mailing address
3 CLARK CT, MONROE TOWNSHIP, NJ 08831-4035
(732) 521-0078
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00296100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238121
—
NJ
01
—
P01140704
RAILROAD MEDICARE
NJ
Enumeration date
07/29/2010
Last updated
03/22/2013
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