| NPI | 1154042992 |
|---|---|
| Doing Business As | LIFEWAY HEALTH |
| Entity Type | Organization |
| Authorized Contact | DAVID MOYE Executive Director 919-614-0301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |