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Individual

LAUREEN LIGHTFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1355 CAMPUS PKWY, WALL TOWNSHIP, NJ 07753-6833
(732) 202-8071
Mailing address
71 NEVILLE ST, TINTON FALLS, NJ 07724-2843
(732) 578-1799

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00529400
NJ

Other

Enumeration date
11/03/2014
Last updated
11/03/2014
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