Individual
STACEY ANN LAURITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1000 HADDONFIELD BERLIN RD STE 205, VOORHEES, NJ 08043-3520
(551) 295-8223
Mailing address
14A MOCCASIN DR, WHITING, NJ 08759-1835
(732) 407-8488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004835
GA
363A00000X
Physician Assistant
Primary
010906
NY
363A00000X
Physician Assistant
25MP00096900
NJ
Other
Enumeration date
04/07/2006
Last updated
03/13/2026
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