Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Extension Institute, Inc

Organization Internal Medicine Physician · NPI 1548536311

Life Extension Institute, Inc is an Internal Medicine Physician in Mc Lean, Virginia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8300 Greensboro Dr Ste 1050
Mc Lean, VA 22102-3611
Phone: (703) 394-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1548536311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxana Guzman — Director Of Accounting · (212) 332-3725
Other names Ehe Int'L
NPI enumeratedMarch 27, 2012
Last updated in NPPESMarch 27, 2012
Mailing address10 Rockefeller Plz Fl 4, New York, NY 10020-1903

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