Individual
MRS. CARMEN D LOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
(908) 604-5318
Mailing address
1001 FABLE AVE, MANVILLE, NJ 08835-2519
(908) 647-0180
(908) 604-5318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN05267500
NJ
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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