Organization
LACEY FAMILY MEDICINE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN B CRAWFORD (BILLING SUPERVISOR)
(732) 349-2795
Entity
Organization
Contact information
Practice address
833 LACEY RD, SUITE 6, FORKED RIVER, NJ 08731-1200
(609) 242-6700
(609) 242-6701
Mailing address
833 LACEY RD, SUITE 6, FORKED RIVER, NJ 08731-1200
(609) 242-6700
(609) 242-6701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06877400
NJ
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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