Individual
MR. LAWRENCE R LODICO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CWS, ATS
Contact information
Practice address
1601 TILTON RD STE 3, NORTHFIELD, NJ 08225-1858
(609) 748-2434
(609) 748-3015
Mailing address
1601 TILTON RD STE 3, NORTHFIELD, NJ 08225-1858
(609) 748-2434
(609) 748-3015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
233010478
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356360325
NPI
NJ
Enumeration date
02/22/2008
Last updated
02/08/2018
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