Organization
LIFESTYLE ACUPUNCTURE OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLEIGH LAVENDER CALLAN L.AC. (OWNER/LICENSED ACUPUNCTURIST)
(973) 919-6674
Entity
Organization
Contact information
Practice address
471 GLEN RD, SPARTA, NJ 07871-3114
(973) 919-6674
Mailing address
471 GLEN RD, SPARTA, NJ 07871-3114
(973) 919-6674
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00095600
NJ
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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