NPI | 1043786288 |
---|---|
Doing Business As | LIFESTYLE MEDICINE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER R BAILEY Owner 256-393-1713 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2018-10-15 |
Last Update Date | 2018-10-15 |