Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00290500 | NJ |
NPI | 1023221314 |
---|---|
Provider Name | Ms. Laurie G Lesser |
First Address | Monmouth Junction, NJ 08852-1948 |
Second Address | Hamilton, NJ 08619-1205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |