Individual
DR. CHARISMA ANN LANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
161 BARTLEY RD, JACKSON, NJ 08527-1241
(732) 363-6140
(732) 363-6196
Mailing address
225 WILLOW BROOK RD STE 9, FREEHOLD, NJ 07728-5922
(732) 462-9622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
032.0134247
VT
207Q00000X
Family Medicine Physician
Primary
25MB09522800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2013
Last updated
03/29/2025
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