Individual
MRS. LARA MITCHELL BAUDUCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
100 ASHURST LN STE 115, MOUNT HOLLY, NJ 08060-1202
(609) 853-5494
Mailing address
1328 SHELLY LN, CHERRY HILL, NJ 08034-3119
(267) 242-2149
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15250200
NJ
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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