Individual provider · Type 1 NPI

Laurie Ellen Ebner-Lyon, A.P.N.

Pediatric Nurse Practitioner · Hackensack, NJ

NPI number 1497708176 Active

Practice location

30 Prospect Ave
Hackensack, NJ 07601-1914

Fax (201) 996-9815

Mailing address

198 Lake Rd
Morristown, NJ 07960-2721

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X26NN09439500 (NJ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497708176

Laurie Ellen Ebner-Lyon, A.P.N.'s National Provider Identifier is 1497708176, issued on May 17, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 13, 2026.