Individual
LANIE FRANCES WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
629 HIGGINS AVE, BRIELLE, NJ 08730-1480
(732) 292-9900
(732) 292-3285
Mailing address
629 HIGGINS AVE, BRIELLE, NJ 08730-1480
(732) 292-9900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
027177
NJ
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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