Individual
DR. LANI MENDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(561) 213-5084
Mailing address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10423900
NJ
Other
Enumeration date
06/07/2015
Last updated
07/26/2019
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