Organization
DE LUCIA ADVANCE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN MICHELE DE LUCIA ACNP-BC (CEO/OWNER)
(201) 854-1500
Entity
Organization
Contact information
Practice address
7617 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4024
(201) 854-1500
(201) 854-1505
Mailing address
7617 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4024
(201) 854-1500
(201) 854-1505
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00060000
NJ
Other
Enumeration date
12/27/2012
Last updated
12/10/2014
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