Organization
LIFE ENHANCEMENT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUPUR LAHIRI M.D. (OWNER)
(732) 355-1158
Entity
Organization
Contact information
Practice address
4105 US HIGHWAY 1, SUITE 11, MONMOUTH JUNCTION, NJ 08852-2157
(732) 355-1158
(732) 355-1157
Mailing address
4105 US HIGHWAY 1, SUITE 11, MONMOUTH JUNCTION, NJ 08852-2157
(732) 355-1158
(732) 355-1157
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA48196
NJ
Other
Enumeration date
11/07/2007
Last updated
01/03/2008
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