Individual provider · NPI-1

Lovely Beaucluche

Nurse Practitioner, Gerontology · Livingston, NJ

NPI number1851112072
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1851112072
Entity type
Individual (NPI-1)
Name
Lovely Beaucluche
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2024
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology26NJ15072800NJYes
207RX0202X Internal Medicine, Medical Oncology26NJ15072800NJ

Practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone 973-322-5200

Mailing address

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone 973-322-5200

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