Provider Demographics
NPI:1104165489
Name:GABLER, LAUREN B (APN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:GABLER
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 1:8008 ROUTE 130
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-1869
Mailing Address - Country:US
Mailing Address - Phone:856-824-0099
Mailing Address - Fax:856-824-0088
Practice Address - Street 1:8008 ROUTE 130
Practice Address - Street 2:SUITE 204
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1869
Practice Address - Country:US
Practice Address - Phone:856-824-0099
Practice Address - Fax:856-824-0088
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00420000363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0511293Medicaid