Individual
DR. LARA A BRUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2963 MARNE HWY, MOUNT LAUREL, NJ 08054-2036
(856) 638-1990
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06431100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8712701
—
NJ
Enumeration date
06/03/2006
Last updated
05/11/2020
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