| NPI | 1003012410 |
|---|---|
| Former Name | LORELANE PAGULAYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08833500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 048737) |
| 207Q00000X Family Medicine (Licence: NJ 25MA0883500) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2022-09-14 |