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Mrs. Lauren Illya Kohlberg, CPNP
Pediatric Nurse Practitioner in West Orange, New Jersey
NPI 1235252065

Lauren Illya Kohlberg is a Pediatric Nurse Practitioner based in West Orange, NJ and is specialized in Pediatrics. Lauren Illya Kohlberg practices in West Orange, NJ and has the professional credentials of CPNP. The NPI Number for Lauren Illya Kohlberg is 1235252065 and holds a License No. 26NO12100400 (New Jersey).

The current practice location address for Lauren Illya Kohlberg is 1500 Pleasant Valley Way, West Orange, NJ and can be reached out via phone at 973-243-0002.

Location: 1500 Pleasant Valley Way, West Orange, NJ, 07052-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235252065
Provider Name
Lauren Illya Kohlberg
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1500 Pleasant Valley Way, West Orange, NJ, 07052-4130
Phone Number
973-243-0002
Fax Number
Provider Enumeration Date
04/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Pleasant Valley Way
City
West Orange
State
New Jersey
Zip
07052-2956
Phone Number
973-243-0002
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Pleasant Valley Way
City
West Orange
State
New Jersey
Zip
07052-2956
Phone Number
973-243-0002
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
26NO12100400 (New Jersey)
Definition
Definition to come...
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