Individual
LAUREN CALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
218A SUNSET RD, WILLINGBORO, NJ 08046-1110
(609) 835-2901
Mailing address
PO BOX 95000-3170, PHILADELPHIA, PA 19195-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00353900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087587
CRNA ID
NJ
Enumeration date
12/12/2011
Last updated
12/12/2011
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