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NPI 1528480563

OrganizationActive

Lourdes Medical Associates PA

NPI 1528480563 · Non-Pharmacy Dispensing Site · Camden, NJ

Provider details

NPI number: 1528480563
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 964-1506
License: 25MB08388600 (NJ)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 25MB08388600 (NJ)
Suppliers

Practice location

1601 Haddon Ave

Camden, NJ 08103-3109

Phone: (856) 757-3700

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Lma Osborn Family Health Center

Registry dates

Enumerated: 2014-01-10
Last updated: 2014-01-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lourdes Medical Associates PA — NPI 1528480563, Camden, NJ | NPI Central