Kohlberg, Lauren Illya

Kohlberg, Lauren Illya is an individual health care provider with primary practice located at 1500 Pleasant Valley Way Suite 301, West Orange NJ 07052-2956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kohlberg, Lauren Illya can be contacted via phone (973) 243-0002.

Contact Information

Primary practice address
1500 Pleasant Valley Way Suite 301 West Orange NJ 07052-2956
Phone: (973) 243-0002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NO12100400 New Jersey

Profile Details

NPI number 1235252065
LBN Legal business name Kohlberg, Lauren Illya
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2007
Last updated Jun 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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