Provider Demographics
NPI:1700225588
Name:NATIONAL LIFE CARE PLANNERS
Entity Type:Organization
Organization Name:NATIONAL LIFE CARE PLANNERS
Other - Org Name:LORI B. ELLIOT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:609-217-6617
Mailing Address - Street 1:32 OAK KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-3100
Mailing Address - Country:US
Mailing Address - Phone:609-217-6617
Mailing Address - Fax:
Practice Address - Street 1:154 US HIGHWAY 206
Practice Address - Street 2:SUITE 6
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2051
Practice Address - Country:US
Practice Address - Phone:908-899-1569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00255000363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty