Individual
MRS. LAURIE ELLEN EBNER-LYON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-5306
(201) 996-9815
Mailing address
198 LAKE RD, MORRISTOWN, NJ 07960-2721
(201) 996-5306
(201) 996-9815
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN09439500
NJ
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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