Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MA09936100 | NJ |
N | 207VX0201X | Gynecologic Oncologist | 25MA09936100 | NJ |
NPI | 1215102942 |
---|---|
Provider Name | Lauren Smith Krill |
First Address | Camden, NJ 08103-1155 |
Second Address | Camden, NJ 08103-1461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 07/10/2020 |