Organization
DERMACRAFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSSE LERNER APN (OWNER)
(845) 901-7289
Entity
Organization
Contact information
Practice address
144 COLES WAY, LAKEWOOD, NJ 08701-4885
(845) 901-7289
(505) 416-4819
Mailing address
144 COLES WAY, LAKEWOOD, NJ 08701-4885
(845) 901-7289
(505) 416-4819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
12/29/2022
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