Doctor Name: | MRS. LALAINE GENUINO |
NPI Number: | 1013221308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00296100 |
Business Practice Address: | 803 Main St Toms River, NJ - 087536699 |
Business Phone Number: | 7325570100 |
Business Fax Number: | 7325570128 |
Mailing Address: | 3 Clark Ct, MONROE TOWNSHIP |
State: | NJ |
Postal Code: | 088314035 |
Phone Number: | 7325210078 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2010 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00296100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |