| Doctor Name: | LAUREN B STOREY |
| NPI Number: | 1104165489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00420000 |
| Business Practice Address: | 8008 Route 130 Suite 204 Delran, NJ - 080751869 |
| Business Phone Number: | 8568240099 |
| Business Fax Number: | 8568240088 |
| Mailing Address: | 8008 Route 130, Suite 204 DELRAN |
| State: | NJ |
| Postal Code: | 080751869 |
| Phone Number: | 8568240099 |
| Fax Number: | 8568240088 |
| NPI Enumeration Date: | 02/06/2013 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NJ00420000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |