Individual
LORI-ANN IACOVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
(201) 227-6058
Mailing address
9 ROSE ST, WOOD RIDGE, NJ 07075-2211
(201) 424-5178
(201) 227-6058
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
Primary
28RI02085200
NJ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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