Provider Demographics
NPI:1528496742
Name:ALIANZA-TIMOG, LORENA T (APN-C)
Entity type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:T
Last Name:ALIANZA-TIMOG
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:908-441-1352
Mailing Address - Fax:908-441-1461
Practice Address - Street 1:653 WILLOW GROVE ST STE 2100
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-6700
Practice Address - Country:US
Practice Address - Phone:908-441-1352
Practice Address - Fax:908-441-1461
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00468100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily