Individual
LOURDES LLOREN MONTEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
492 ROUTE 57 W, FX ANIDOME CTR, WASHINGTON, NJ 07882-4338
(908) 689-1000
(908) 689-4529
Mailing address
78 ANTHONY RD, GLEN GARDNER, NJ 08826-3052
(908) 832-6512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA50837
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2320853000
AMERI HEALTH
NJ
05
—
3735800
—
NJ
01
—
598425C2F
MEDICARE BILLING NO
NJ
Enumeration date
12/13/2005
Last updated
02/05/2008
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