Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 22DI01546300 | NJ |
NPI | 1043295462 |
---|---|
Provider Name | Dr. Carolyn Ann Contee-Lassiter |
First Address | Watchung, NJ 07069-6442 |
Second Address | West Trenton, NJ 08628-7717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 08/07/2007 |