Individual
MRS. LENORE J BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN NP-C
Contact information
Practice address
20 PROSPECT AVE, SUITE 201, HACKENSACK, NJ 07601-1997
(201) 996-2937
Mailing address
1233 RICHMOND RD, MAHWAH, NJ 07430-3238
(201) 327-5384
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00114000
NJ
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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