Individual
MADEARIA LYNETTE LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 HILLIARD T MOORE AVE, LAWNSIDE, NJ 08045-1122
(856) 534-2409
Mailing address
202 HILLIARD T MOORE AVE, LAWNSIDE, NJ 08045-1122
(856) 534-2409
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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