Organization
WELLSPRINGS HOLISTIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN P DELAURENTIS MA (ADMINISTRATOR)
(609) 481-5830
Entity
Organization
Contact information
Practice address
813 E GATE DR, SUITE B, MOUNT LAUREL, NJ 08054-1238
(609) 481-5830
(856) 222-9916
Mailing address
813 E GATE DR, SUITE B, MOUNT LAUREL, NJ 08054-1238
(609) 481-5830
(856) 222-9916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
SI00144600
NJ
208D00000X
General Practice Physician
Primary
25MB05189200
NJ
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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