Individual
MR. LOVELL EDWIN EMERY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.,A.T.C
Contact information
Practice address
73 HAINES ST, LANOKA HARBOR, NJ 08734-2115
(609) 242-4406
Mailing address
199 CHIPPEWA TRL, MEDFORD LAKES, NJ 08055-1813
(609) 654-1437
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00056600
NJ
Other
Enumeration date
10/28/2008
Last updated
10/29/2008
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