Individual
LAUREN ANTONISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
213 WESTWOOD CT, WEST DEPTFORD, NJ 08096-3134
(856) 684-0326
Mailing address
1107 MANTUA PIKE STE 720-208, MANTUA, NJ 08051-1606
(856) 684-0326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00515000
NJ
Other
Enumeration date
08/18/2014
Last updated
05/19/2024
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