LMA WILLINGBORO TOWN CENTER
NPI 1063850626
Non-Pharmacy Dispensing Site in Willingboro, NJ

Active since June 05, 2013
200 CAMPBELL DR, SUITE 102, WILLINGBORO, NJ 08046(609) 877-4545 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lma Willingboro Town Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LMA WILLINGBORO TOWN CENTER (NPI 1063850626) is a healthcare organization registered as a non-pharmacy dispensing site in Willingboro, New Jersey and active in the NPI registry since June 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1063850626
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLOURDES MEDICAL ASSOCIATES PA
Location Address200 CAMPBELL DR, SUITE 102Willingboro, NJ 08046-1067
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateJune 5, 2013
Last NPPES UpdateJune 5, 2015
NPI 1063850626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in NJ · 25MA04258100
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
200 CAMPBELL DR, Willingboro, NJ 08046

Other Names 1

Doing Business AsLma Willingboro Town Center

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
200 CAMPBELL DR, SUITE 102
WILLINGBORO, NJ 08046
Counselor (Professional)
200 CAMPBELL DR, SUITE 105 E
WILLINGBORO, NJ 08046
Clinic/Center (Rehabilitation, Substance Use Disorder)
200 CAMPBELL DR
WILLINGBORO, NJ 08046
Family Medicine
200 CAMPBELL DR, SUITE 102
WILLINGBORO, NJ 08046
Physical Therapist
200 CAMPBELL DR
WILLINGBORO, NJ 08046
Home Health
200 CAMPBELL DR, SUITE 209
WILLINGBORO, NJ 08046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lourdes Medical Associates PA's NPI number?

The NPI number for Lourdes Medical Associates PA is 1063850626. It was assigned to this organization in the NPPES registry on June 5, 2013. The provider is doing business as Lma Willingboro Town Center.

Where is Lourdes Medical Associates PA located?

Lourdes Medical Associates PA is located at 200 Campbell Dr Suite 102, Willingboro, NJ 08046. The listed phone number is (609) 877-4545.

What is Lourdes Medical Associates PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Lourdes Medical Associates PA was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.