Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | NONE | NJ |
NPI | 1760641799 |
---|---|
Provider Name | Ms. Lorraine V Sarra |
First Address | Somerville, NJ 08876-2216 |
Second Address | Somerville, NJ 08876-2216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 05/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22971782 | EMPLOYER ID NUMBER (01) | NJ |