Provider Demographics
NPI:1235540121
Name:AUERBACH, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:AUERBACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:SKURBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:649 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1526
Mailing Address - Country:US
Mailing Address - Phone:973-795-7955
Mailing Address - Fax:973-795-7909
Practice Address - Street 1:649 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1526
Practice Address - Country:US
Practice Address - Phone:973-795-7955
Practice Address - Fax:973-795-7909
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ726538133V00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered