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Individual

NELLY LAKIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
264 W COLFAX AVE, ROSELLE PARK, NJ 07204-1101
(908) 358-4880
Mailing address
264 W COLFAX AVE, ROSELLE PARK, NJ 07204-1101
(908) 358-4880

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR27638400
NJ

Other

Enumeration date
02/11/2026
Last updated
02/11/2026
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