Provider Demographics
NPI:1669659504
Name:LEFF, LORI MARCIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:MARCIA
Last Name:LEFF
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 RARITAN AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2702
Mailing Address - Country:US
Mailing Address - Phone:732-572-3773
Mailing Address - Fax:732-572-6881
Practice Address - Street 1:332 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2702
Practice Address - Country:US
Practice Address - Phone:732-572-3773
Practice Address - Fax:732-572-6881
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI18501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist