| NPI | 1013201854 |
|---|---|
| Doing Business As | LAKEWOOD WEIGHT LOSS AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TODD MCCARTY President 469-547-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RB0002X Internal Medicine Obesity Medicine |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |