LOURDES MEDICAL ASSOCIATES PA NPI 1063850626

NPI Information

LOURDES MEDICAL ASSOCIATES PA is a non pharmacy dispensing site in Willingboro, NJ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) LOURDES MEDICAL ASSOCIATES PA NPI is 1063850626. The provider is registered as an organization entity type.
The provider Is Doing Business As Lma Willingboro Town Center.

The provider's business location address is:

200 CAMPBELL DR
SUITE 102
WILLINGBORO, NJ
ZIP 08046-067
Phone: (609) 877-4545

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 6/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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