Individual provider · Type 1 NPI
Madison Lacken
Family Nurse Practitioner · Hamburg, NJ
NPI number
1053147785
Active
Practice location
225 Route 23, Suite 1C
Hamburg, NJ 07419
Fax (973) 209-4832
Mailing address
532 Lafayette Rd Ste 300
Sparta, NJ 07871-4411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ15125800 (NJ) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1053147785
Madison Lacken's National Provider Identifier is 1053147785, issued on Sep 10, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hamburg, NJ. The record was last updated on Sep 10, 2024.