| Organization Name: | DRS LAHIRI AND MESIBOV, LLC |
| NPI Number: | 1154569135 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MESIBOV (MEDICAL DOCTOR) |
| Mailing Address: | 118 Central Park Sq Los Alamos |
| State: | NM US |
| Postal Code: | 875444021 |
| Phone Number: | 5056624798 |
| Fax Number: | 5056619637 |
| NPI Enumeration Date: | 01/28/2009 |
| NPI Last Update Date: | 01/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | PA2008-0049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |