Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lourdes Medical Associates PA

Organization Non-Pharmacy Dispensing Site · NPI 1063850626

Lourdes Medical Associates PA is a Non-Pharmacy Dispensing Site in Willingboro, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

200 Campbell Dr Ste 102
Willingboro, NJ 08046-1067
Phone: (609) 877-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 25MA04258100 (NJ)

Record details

NPI number1063850626
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Lma Willingboro Town Center
NPI enumeratedJune 5, 2013
Last updated in NPPESJune 5, 2015
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705