Individual
MRS. LISA MARIE DINKELACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1211 RT 72 WEST, MANAHAWKIN, NJ 08050
(609) 465-1260
Mailing address
3125 ROUTE 9 S APT 3, RIO GRANDE, NJ 08242-1044
(609) 465-5130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05526200
NJ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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