Individual
DR. LOUANN B VANLIEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D ; F.A.G.D
Contact information
Practice address
710 LACEY RD., FORKED RIVER, NJ 08731
(609) 242-3567
(609) 242-3330
Mailing address
710 LACEY RD., FORKED RIVER, NJ 08731
(609) 242-3567
(609) 242-3330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20394
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI20394
NJ DENTAL LICENSE
NJ
Enumeration date
09/15/2005
Last updated
01/24/2023
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