NPI | 1265723399 |
---|---|
Doing Business As | LOUISVILLE LIFESTYLE MEDICINE |
Entity Type | Organization |
Authorized Contact | ROBERT ALOYSIUS HOBBS CEO/Nurse Practitioner 502-419-8843 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 213E00000X Podiatrist |
225100000X Physical Therapist | |
261QH0100X Clinic/Center, Health Services (Licence: KY 3004876) | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2011-04-24 |
Last Update Date | 2019-03-25 |