Individual provider · NPI-1

Doreen Lallo, RNFA

Registered Nurse, Registered Nurse First Assistant · Newark, NJ

NPI number1588087530

StatusActive

Last updated in NPPESJan 28, 2014

Details

NPI: 1588087530
Entity type: Individual (NPI-1)
Name: Mrs. Doreen Lallo
Credential: RNFA
Sex: Female
Sole proprietor: Yes
Enumeration date: Jan 28, 2014
Last updated: Jan 28, 2014

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WR0006X	Registered Nurse, Registered Nurse First Assistant	26NO06520700	NJ	Yes

Practice location

268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Phone 973-877-2963

Mailing address

111 Central Ave
Newark, NJ 07102-1909

Phone 973-877-5030

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