Individual
LATIFAH LEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 COLGATE DR, NEWARK, NJ 07103-6015
(973) 393-7079
Mailing address
20 COLGATE DR, NEWARK, NJ 07103-6015
(973) 393-7079
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06599100
NJ
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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