Individual
MS. KADEJAH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1803 NJ-35, OAKHURST, NJ 07755
(732) 531-0100
Mailing address
32 BROAD ST, MATAWAN, NJ 07747-2505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00548200
NJ
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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