MICCAL A. SCOTT-LYEW

MONTCLAIR, NJ
NPI1720673171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ  26NJO1148500)
Enumeration Date2021-03-08
Last Update Date2023-07-07
Business Address
MICCAL A. SCOTT-LYEW AGPC-NP
28 VALLEY RD # 148
MONTCLAIR, NJ 07042-2709
Phone number: 973-559-4600
Mailing Address
MICCAL A. SCOTT-LYEW AGPC-NP
34 MOUNTAIN BLVD STE 203
WARREN, NJ 07059-2640
Phone number: 908-574-1267