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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORI GAINES MCCULLOM, OTR

Active Sole Proprietor

LORI GAINES MCCULLOM, OTR is a Skilled Nursing Facility healthcare provider located in CEDAR GROVE, New Jersey. NPI 1134406762 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · CEDAR GROVE, NJ

Registration Details

NPI Number
1134406762
Provider Type
Individual
Gender
Female
NPI Issued
Nov 10, 2011 (14.731879392449 yrs)
Last Updated
Nov 10, 2011
License
46TR00355900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
25 E LINDSLEY RD
CEDAR GROVE, NJ, 070091023
Browse NJ providers · Browse ZIP 07009
Phone
9732567220
Fax
9732564723
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Providers in CEDAR GROVE, NJ

Name Credential NPI
MARIANNA ROMAN PTA 1871750679
MR. MANESH PAUL 1336432178
SONYA MCKINNEY 1386056885
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.