# LOOK BACK REJUVENATION, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811566193
- **Authorized official:** MS. DEANNA L BENJAMIN AGACNP-BC (APRN)
- **Authorized official phone:** (603) 440-5803

## Contact information

- **Practice address:** 382 MAIN ST, NASHUA, NH 03060-5046
- **Practice address phone:** (603) 440-5803
- **Mailing address:** PO BOX 82, MERRIMACK, NH 03054-0082
- **Mailing address phone:** (603) 440-5803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/22/2021