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India Lark

NPI 1952064057 · on the registry since 2021 · sole proprietor

Practice

Address
604 Fern Ave
Magnolia, NJ 08049
Phone
(856) 562-8916

Additional practice sites

  • 770 Woodlane Rd, Westampton, NJ

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
374J00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey