Individual
LAUREN ASHLEY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
525 ROUTE 73 S, SUITE 102, MARLTON, NJ 08053-9642
(856) 596-3434
Mailing address
525 ROUTE 73 S, SUITE 102, MARLTON, NJ 08053-9642
(856) 596-3434
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00510800
NJ
363LP0200X
Pediatric Nurse Practitioner
SP013793
PA
Other
Enumeration date
04/15/2014
Last updated
08/26/2014
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