LORRAINE WALLACE

PARSIPPANY, NJ
NPI1699365486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ01106200)
Enumeration Date2021-01-25
Last Update Date2021-12-01
Business Address
LORRAINE WALLACE
259 BALDWIN RD STE 203C
PARSIPPANY, NJ 07054-7505
Phone number: 973-362-2091
Mailing Address
LORRAINE WALLACE
259 BALDWIN RD STE 203C
PARSIPPANY, NJ 07054-7505
Phone number: 733-622-0919
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