NPI | 1568100634 |
---|---|
Former Legal Business Name | KL LIFERXMD LLC |
Entity Type | Organization |
Authorized Contact | KARA LAXSON Owner Administrator 512-876-8339 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2022-05-26 |
Last Update Date | 2022-05-26 |