Individual
MS. JUDITH ANN LACINAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
298 BROADWAY, NEWARK, NJ 07104-4003
(973) 268-9797
Mailing address
175 BILTMORE ST, NORTH ARLINGTON, NJ 07031-5609
(201) 997-3094
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00119400
NJ
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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