Individual
KAITLYN LANCELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNNA
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753
(732) 755-5000
Mailing address
329 MORGAN AVE, OLD BRIDGE, NJ 08857-1353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18195500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01253800
NJ
Other
Enumeration date
06/16/2019
Last updated
01/11/2022
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