| Madison Lacken, | |
|
225 Route 23, Suite 1c, Hamburg, NJ 07419 | |
| (973) 209-1550 | |
| (973) 209-4832 |
| Full Name | Madison Lacken |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 225 Route 23, Hamburg, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053147785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15125800 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Lacken, 532 Lafayette Rd Ste 300, Sparta, NJ 07871-4411 Ph: (973) 795-4554 | Madison Lacken, 225 Route 23, Suite 1c, Hamburg, NJ 07419 Ph: (973) 209-1550 |
Erin Wilson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 State Rt 23 N, Hamburg, NJ 07419 Phone: 973-827-7800 Fax: 973-209-7855 | |
Wendy R Ognek, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17 Nj Route 23 North, Hamburg, NJ 07419 Phone: 973-827-7800 Fax: 973-209-7855 | |
Ms. Diana Beth Hannoch-bowie, A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 Route 23 North, Suite 103, Hamburg, NJ 07419 Phone: 973-827-7800 Fax: 973-209-7855 |