Individual
LORI MARIE MONDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3500
Mailing address
213 N HADDON AVE, 2ND FLOOR, HADDONFIELD, NJ 08033-2344
(609) 571-8748
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00358000
NJ
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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