Individual
MRS. LORI J CIAVAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
141 ROUTE 70 E STE B, MARLTON, NJ 08053-1855
(856) 596-9057
(856) 596-0837
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00699800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0552623
—
NJ
Enumeration date
01/18/2017
Last updated
11/04/2024
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