Individual
MRS. THERESA ANN LORD-STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNC
Contact information
Practice address
11 BISHOP PLACE, RUTGERS UNIVERSITY HURTADO HEALTH CENTER, NEW BRUNSWICK, NJ 08901
(732) 932-7402
Mailing address
316 SHARP STREET, HACKETTSTOWN, NJ 07840-1932
(908) 852-4828
(908) 852-2056
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07286100
NJ
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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