Individual
LAUREN WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1006 MANTUA PIKE, WOODBURY HEIGHTS, NJ 08097-1221
(800) 789-7366
Mailing address
15 S BANK ST APT 400, PHILADELPHIA, PA 19106-2829
(516) 851-9807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01168200
NJ
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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