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Individual

LYNN EIDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
128 ROUTE 70 STE 1, MEDFORD, NJ 08055-2371
(609) 367-0900
(609) 367-0901
Mailing address
2083 LAWRENCEVILLE ROAD, RIDER UNIVERSITY, LAWRENCEVILLE, NJ 08648-3099
(609) 896-5060
(609) 895-5682

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN07783400
NJ
363L00000X
Nurse Practitioner
36NC07783400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8184500
NJ
Enumeration date
05/19/2006
Last updated
11/13/2024
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