Organization · Type 2 NPI

Lasting Impression Medical Aesthetics, LLC

Radiology Clinic/Center · Fair Lawn, NJ

NPI number 1912522889 Active

Practice location

25-15 Fair Lawn Ave Lowr Levelr
Fair Lawn, NJ 07410-3434

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

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About NPI 1912522889

Lasting Impression Medical Aesthetics, LLC's National Provider Identifier is 1912522889, issued on Jun 16, 2020. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jun 16, 2020.