Lifestyle Medicine Llc

NPI 1245429216 - Internal Medicine - 207R00000X

NPI Details
NPI 1245429216
Enumeration Date 10/16/2007
Last Updated 11/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NANCY NANCY
Position OFFICER
Phone (505) 425-2850
Fax (505) 425-2847
Practice Location
1301 8TH ST
LAS VEGAS NM, 87701-4221, US
Phone (505) 425-2850
Fax (505) 425-2847
Business Location
1301 8TH ST
LAS VEGAS NM, 87701-4221, US
Phone (505) 425-2850
Fax (505) 425-2847
Toxanomy
Taxonomy Code 207R00000X
License State New Mexico
License Number 2000216
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According to our database, Lifestyle Medicine Llc NPI is 1245429216, taxonomy code is 207R00000X and license number is 2000216, license state is located at New Mexico. Lifestyle Medicine Llc physically located at 1301 8th St, Las Vegas NM, 87701-4221. NPI Number 1033115704 has the healthcare provider type.

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1245429216 NPI number is provided on an as is basis without warranty of any kind. 1245429216 is maintained by the National Plan & Provider Enumeration System. The contents of Lifestyle Medicine Llc are for informational purposes only.