NPI 1063850626
Lourdes Medical Associates PA
Practice location
- Address
- 200 Campbell Dr Suite 102, Willingboro, NJ 08046-1067
- Phone
- (609) 877-4545
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- Kenny Heine
- Title
- Vp of Operations
- Phone
- (858) 964-1506
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1063850626
- Entity type
- Organization
- NPI issued
- 5 Jun 2013
- Record last updated
- 5 Jun 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.