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Individual

LAUREN BLANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
94 STEVENS RD, TOMS RIVER, NJ 08755-1237
(732) 914-1100
Mailing address
94 STEVENS RD, TOMS RIVER, NJ 08755-1237
(732) 914-1100

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00095200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
305555
AMERIGROUP
NJ
01
3K3458
HEALTHNET
NJ
01
S51B01
EMPIRE
NJ
Enumeration date
03/15/2006
Last updated
07/08/2007
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