Look Back Rejuvenation, LLC.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LOOK BACK REJUVENATION, LLC.

Practice address

382 Main St
Nashua, NH 03060-5046

Phone

(603) 440-5803

NPI assigned

Jun 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deanna L Benjamin, AGACNP-BC

Title

Aprn

Phone

(603) 440-5803

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1811566193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030540082",
            "telephone_number": "603-440-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605046",
            "telephone_number": "603-440-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOK BACK REJUVENATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "603-440-5803",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lombardi, LICSW
• Alexandria Ann Long
• Angela Dale Long, LICSW
• Cherylle A Long
• Hannah Long, BS
• Kelsey Loparto, BA
• Rashmi Lopchan
• Brandy Lopez, BS
• Henry Agustin Lopez, O.D.
• Samantha Lin Lopez

• Medical Specialty Clinic/Center in Nashua, NH
• Providers in Nashua, NH by specialty
• Medical Specialty Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.