Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 25MA08911200 | NJ |
NPI | 1003011065 |
---|---|
Provider Name | Dr. Laura Lei |
First Address | Summit, NJ 07901 |
Second Address | Somerset, NJ 08873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 22/06/2018 |