Individual
LAURA LIENEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
54 E MAIN ST, MARLTON, NJ 08053-2141
(856) 988-0570
(856) 988-0303
Mailing address
54 E MAIN ST, MARLTON, NJ 08053-2141
(856) 988-0570
(856) 988-0303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR15617400
NJ
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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