Individual
LUZVIMINDA E DORSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6575
(732) 923-7724
Mailing address
PO BOX 15378, NEWARK, NJ 07192-5378
(732) 923-6575
(732) 923-7724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00110700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118834
—
NJ
Enumeration date
01/30/2007
Last updated
07/08/2007
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