Individual
LASANDRA SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(609) 575-3216
Mailing address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(609) 575-3216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06328000
NJ
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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