| NPI | 1790077824 |
|---|---|
| Doing Business As | LIVELYTE MEDICAL WEIGHT MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | EMILY ULMER MICHELSEN President 410-721-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D26199) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2011-05-08 |