| 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 |