Most Relevant Information
Provider Data
| NPI Number: | 1003362195 |
| Provider Name: | LINDSAY ELIZABETH KELLOGG APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00664000 |
Most Important Dates
| Enumeration Date: | 08/29/2016 |
| Last Updated: | 03/31/2017 |
Provider Practice Location
765 ROUTE 10 E
SUITE 201
RANDOLPH
NJ
078691925
Practice Location Phone/Fax
| Phone: | 9739890068 |
| Fax: |
Provider Mailing Location
105 RAIDER BLVD
SUITE 101
HILLSBOROUGH
NJ
088441528
Provider Mailing Phone/Fax
| Phone: | 9082810221 |
| Fax: |