Individual
CAROLINE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
777 S WHITE HORSE PIKE STE E1, HAMMONTON, NJ 08037-2029
(609) 567-0608
(609) 567-1295
Mailing address
777 S WHITE HORSE PIKE STE E1, HAMMONTON, NJ 08037-2029
(609) 567-0608
(609) 567-1295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13749900
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00952600
NJ
Other
Enumeration date
03/26/2019
Last updated
05/05/2020
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