Provider Demographics
NPI:1598286015
Name:LAMARCA, REBECCA (APN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:LAMARCA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 N RTE 17 STE 255
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2817
Mailing Address - Country:US
Mailing Address - Phone:201-490-4333
Mailing Address - Fax:201-490-4334
Practice Address - Street 1:140 N RTE 17 STE 255
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2817
Practice Address - Country:US
Practice Address - Phone:201-490-4333
Practice Address - Fax:201-490-4334
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00724400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily