Individual
LAURA MACALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
725 AIRPORT RD STE 2, LAKEWOOD, NJ 08701-5968
(732) 600-0780
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 600-0780
(732) 557-5144
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
04/24/2019
Last updated
04/24/2019
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