Individual
LAUREN BORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
359 N FORKLANDING RD, MAPLE SHADE, NJ 08052-1164
(609) 287-5494
Mailing address
359 N FORKLANDING RD, MAPLE SHADE, NJ 08052-1164
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26-NR-13251900
NJ
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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