Individual
MRS. LYZAMARIE VICTORIA QUILAL-LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 NEW JERSEY ROUTE 17 NORTH, PARAMUS, NJ 07652
(201) 262-5437
Mailing address
400 CREST DR, NORTHVALE, NJ 07647-1306
(201) 724-9029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14888300
NJ
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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