Most Relevant Information
Provider Data
| NPI Number: | 1003537408 |
| Provider Name: | LORI SHAKOUR FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ01351000 |
Most Important Dates
| Enumeration Date: | 09/06/2022 |
| Last Updated: | 10/05/2022 |
Provider Practice Location
4 PARAGON WAY STE 300
FREEHOLD
NJ
077287805
Practice Location Phone/Fax
| Phone: | 7324629800 |
| Fax: |
Provider Mailing Location
363 LODI CT
BELFORD
NJ
077181016
Provider Mailing Phone/Fax
| Phone: | 9086016544 |
| Fax: |