Provider Demographics
NPI:1861497760
Name:GARCIA, LOLITA A (APN-C)
Entity Type:Individual
Prefix:
First Name:LOLITA
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1813 OAK TREE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2740
Mailing Address - Country:US
Mailing Address - Phone:732-548-5955
Mailing Address - Fax:732-494-6994
Practice Address - Street 1:98 JAMES ST
Practice Address - Street 2:STE 313
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3902
Practice Address - Country:US
Practice Address - Phone:732-635-1100
Practice Address - Fax:732-635-0918
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25NN09381600363LA2200X
NJ25NO09381600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8467501Medicaid
NJ8467501Medicaid
NJP23423Medicare UPIN