Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | QA05232 | NJ |
NPI | 1578537288 |
---|---|
Provider Name | Lori A Auletta |
First Address | Burlington, NJ 08016-3065 |
Second Address | Mount Laurel, NJ 08054-9752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 08/07/2007 |