Individual
AMANDA LYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PINE BRAE LN, CLIFTON, NJ 07012-1218
(862) 485-6105
Mailing address
81 PINE BRAE LN, CLIFTON, NJ 07012-1218
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1234567890
NJ
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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