Individual
NICOLE LAURICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00683600
NJ
363AM0700X
Medical Physician Assistant
25MP00683600
NJ
Other
Enumeration date
01/17/2022
Last updated
12/16/2023
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