Individual
LAKHVIR K DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 W SHERMAN AVE STE 101, VINELAND, NJ 08360-7059
(856) 696-9550
(856) 696-4932
Mailing address
1505 W SHERMAN AVE STE 101, VINELAND, NJ 08360-7059
(856) 696-9550
(856) 696-4932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17613800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01217200
NJ
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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