Organization
GENESIS INTEGRATIVE MEDICINE LONGEVITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LOURO DC (CHIROPRACTOR)
(732) 681-1000
Entity
Organization
Contact information
Practice address
1716 MAIN ST, LAKE COMO, NJ 07719-3052
(732) 681-1000
(732) 681-1004
Mailing address
1716 MAIN ST, LAKE COMO, NJ 07719-3052
(732) 681-1000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
11/04/2022
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