Lourdes Medical Associates PA
Non-Pharmacy Dispensing Site in Willingboro, New Jersey
1063850626- Practice location
- 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067
- Phone
- 609-877-4545
- Fax
- —
- Last updated
- June 5, 2015
Lourdes Medical Associates PA is a healthcare organization based in Willingboro, NJ. Lourdes Medical Associates PA practices in Willingboro, NJ. The NPI Number for Lourdes Medical Associates PA is 1063850626 and holds a License No. 25MA04258100 (NJ). The current practice location address for Lourdes Medical Associates PA is 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067 and can be reached out via phone at 609-877-4545.
Provider Profile Details
- NPI Number
- 1063850626
- Provider Name
- Lourdes Medical Associates PA
- Provider Entity Type
- Organization
- Address
- 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067
- Phone Number
- 609-877-4545
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx, INC
- Authorized Official
- Kenny Heine · Vp Of Operations · 858-964-1506
- Other Names
- Lma Willingboro Town Center (Doing Business As)
- Provider Enumeration Date
- June 5, 2013
- Last Update Date
- June 5, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Campbell Dr
Suite 102
Willingboro, NJ 08046-1067 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-1067
- Phone Number
- 609-877-4545
Provider Business Mailing Address Details
- Address
- 5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705 - City
- San Diego
- State
- CA
- Zip
- 92121-1705
License Information
- License Number
- 25MA04258100
- License State
- NJ
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lourdes Medical Associates PA?
The NPI number of Lourdes Medical Associates PA is 1063850626. It was assigned on June 5, 2013 and is currently active in the NPPES registry.
What is the specialty of Lourdes Medical Associates PA?
Lourdes Medical Associates PA is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MA04258100.
Where does Lourdes Medical Associates PA practice?
The practice location is 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067. The office can be reached at 609-877-4545 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063850626 directly on the NPPES registry website.