Individual provider · Type 1 NPI

Lauren Illya Kohlberg, C.P.N.P

Pediatric Nurse Practitioner · West Orange, NJ

NPI number 1235252065 Active

Practice location

1500 Pleasant Valley Way, Suite 301
West Orange, NJ 07052-2956

Call (973) 243-0002 Map

Mailing address

198 Zeppi Ln
West Orange, NJ 07052-4130

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	26NO12100400 (NJ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1235252065

Lauren Illya Kohlberg, C.P.N.P's National Provider Identifier is 1235252065, issued on Apr 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Orange, NJ. The record was last updated on Jun 28, 2011.