Organization
PRIMARY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHIRA LASDUN NP (CEO)
(732) 534-1378
Entity
Organization
Contact information
Practice address
500 RIVER AVE STE 200, LAKEWOOD, NJ 08701-4719
(732) 884-1800
Mailing address
18 NATURES WAY, LAKEWOOD, NJ 08701-4339
(732) 886-7372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
07/20/2021
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