Individual
MRS. LAUREN ANN LETIZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
246 HAMBURG TPKE, SUITE 207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 653-3665
Mailing address
246 HAMBURG TPKE, SUITE 207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 653-3665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00624500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507628
—
NJ
Enumeration date
03/02/2016
Last updated
08/03/2016
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