Organization
LCASSISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAINE M CAMPANELLA RNFA (PRESIDENT)
(856) 596-2693
Entity
Organization
Contact information
Practice address
2 ASHLEY CT, MEDFORD, NJ 08055-8849
(856) 596-2693
(856) 596-2693
Mailing address
2 ASHLEY CT, MEDFORD, NJ 08055-8849
(856) 596-2693
(856) 596-2693
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26N005787400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629110515
NPI ID
NJ
01
—
26N005787400
NJ LICENSE
NJ
Enumeration date
02/14/2007
Last updated
07/10/2008
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