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Individual

LORA MATTIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
30 LANDAU RD, BASKING RIDGE, NJ 07920-3717
(732) 841-9338
Mailing address
30 LANDAU RD, BASKING RIDGE, NJ 07920-3717
(732) 841-9338

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00701000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00701000
NJ

Other

Enumeration date
01/25/2017
Last updated
02/10/2020
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