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Individual

LUNIE SAMEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
26NR17960100
NJ
363L00000X
Nurse Practitioner
26NJ00993800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00993800
NJ

Other

Enumeration date
12/09/2019
Last updated
03/09/2022
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