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1992100986
LAUREEN LIGHTFOOT
WALL TOWNSHIP, NJ
NPI
1992100986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00529400)
Enumeration Date
2014-11-03
Last Update Date
2014-11-03
Business Address
-- LAUREEN LIGHTFOOT APN
1355 CAMPUS PKWY
WALL TOWNSHIP, NJ 07753-6833
Phone number: 732-202-8071
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Mailing Address
-- LAUREEN LIGHTFOOT APN
71 NEVILLE ST
TINTON FALLS, NJ 07724-2843
Phone number: 732-578-1799
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