Individual
LANNAE G EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
429 W VERNON AVE, LINWOOD, NJ 08221-1320
(609) 601-8048
Mailing address
429 W VERNON AVE, LINWOOD, NJ 08221-1320
(609) 601-8048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00085600
NJ
Other
Enumeration date
06/14/2006
Last updated
09/09/2008
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