Provider Demographics
NPI:1659151462
Name:LORCAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:LORCAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOMIKO
Authorized Official - Middle Name:N
Authorized Official - Last Name:EDMONDS-DURAND
Authorized Official - Suffix:
Authorized Official - Credentials:DNP APRN-C AGPCNP-C
Authorized Official - Phone:908-380-8130
Mailing Address - Street 1:2816 MORRIS AVE STE 40
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4842
Mailing Address - Country:US
Mailing Address - Phone:908-376-6399
Mailing Address - Fax:
Practice Address - Street 1:2816 MORRIS AVE STE 40
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4842
Practice Address - Country:US
Practice Address - Phone:908-380-8130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty