Individual
LORI LEESE-SHINSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BRITTON PL, SUITE 12, VOORHEES, NJ 08043-2514
(856) 772-1880
(856) 770-0718
Mailing address
6 SASSAFRAS WAY, MEDFORD, NJ 08055-8131
(609) 206-1127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NN09422400
NJ
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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