Individual
DR. LYNNE M PORRECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
211 BUCK ST, MILLVILLE, NJ 08332-3817
(856) 825-1011
(856) 327-1333
Mailing address
211 BUCK ST, MILLVILLE, NJ 08332-3817
(856) 825-1011
(856) 327-1333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ 4381
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4501878
AETNA
NJ
Enumeration date
11/10/2005
Last updated
01/31/2008
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