Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LORRAINE RACHEL JERUD, DR
Active Sole ProprietorDR. LORRAINE RACHEL JERUD, DR is a Periodontology healthcare provider located in VENTNOR CITY, New Jersey. NPI 1366524357 is currently active in the NPPES registry. Verify at CMS.
Periodontology · VENTNOR CITY, NJ
Registration Details
- NPI Number
- 1366524357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2006 (19.781235924608 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13368 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 S NASHVILLE AVEVENTNOR CITY, NJ, 084062943Browse NJ providers · Browse ZIP 08406
- Phone
- 8565895363
- Primary Specialty
-
Periodontology
1223P0300X
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.