Individual
MRS. LAUREN TREENE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PATERSON ST, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7784
Mailing address
125 PATERSON ST, NEW BRUNSWICK, NJ 08901-1962
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
05/22/2024
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