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Individual

MS. LORI A PENNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
111 CENTRAL AVE FL 3, NEWARK, NJ 07102-1909
(973) 877-2826
(973) 877-2621
Mailing address
76 WENTWORTH RD, BEDMINSTER, NJ 07921-2007
(973) 877-5300
(973) 877-2621

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00034200
NJ

Other

Enumeration date
02/20/2007
Last updated
07/08/2007
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