Organization
LICE LIFTERS NORTHERN NEW JERSEY LLC
Active
Organization
LICE LIFTERS NORTHERN NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R RAFAL (OWNER)
(973) 287-6067
Entity
Organization
Contact information
Practice address
353C US HIGHWAY 46, SUITE 215, FAIRFIELD, NJ 07004-2437
(973) 287-6067
Mailing address
1245 SUNNYFIELD LN, SCOTCH PLAINS, NJ 07076-2219
(908) 917-1963
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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