| Lrx Of South Jersey, Llc | |
|
801 Route 73 N Suite E Marlton NJ 08053-1282 | |
| (856) 348-3600 | |
| (856) 348-3602 |
| Full Name | Lrx Of South Jersey, Llc |
|---|---|
| Speciality | Rehabilitation Practitioner |
| Location | 801 Route 73 N, Marlton, New Jersey |
| Authorized Official Name and Position | Stephen Pearson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8563483600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lrx Of South Jersey, Llc 801 Route 73 N Suite E Marlton NJ 08053-1282 Ph: (856) 348-3600 | Lrx Of South Jersey, Llc 801 Route 73 N Suite E Marlton NJ 08053-1282 Ph: (856) 348-3600 |
| NPI Number | 1003261934 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003261934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
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