Life Extension Institute, Inc.

NPI #1548536311 in Mc Lean, Virginia

Provider Information

NPI Number
1548536311
Entity Type
Organization
Organization Name
Life Extension Institute, Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Mar 27, 2012
Last Updated
Mar 27, 2012

Practice Location

Address
8300 GREENSBORO DR STE 1050
ZIP Code
22102-3611
Phone
(703) 394-3400

Authorized Official

Name
MS. ROXANA GUZMAN
Title
DIRECTOR OF ACCOUNTING
Phone
(212) 332-3725

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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