NPI
Tijuana Theresa Lane
NPI 1457131955
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2023-10-02
- Last updated
- 2024-08-21
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Specialties
Licenses
- License NJ
- Number not in the file
- License NJ
- zvavgk6tpe
Location
- Practice location
- 535 Cinnaminson Ave
- City
- Palmyra NJ
- Postal code
- 08065-1610
- Phone
- (856) 287-3578
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Palmyra, NJ. 61 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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