Individual
DR. STEPHANIE VALENTINE LANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
42 E LAUREL RD, UDP #1100, STRATFORD, NJ 08084-1354
(856) 566-7036
(856) 566-6108
Mailing address
42 E LAUREL RD, UDP #1100, STRATFORD, NJ 08084-1354
(856) 566-7036
(856) 566-6108
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08527800
NJ
2080C0008X
Child Abuse Pediatrics Physician
25MA08527800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192040
—
NJ
Enumeration date
05/13/2008
Last updated
06/18/2015
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