| NPI | 1811407729 |
|---|---|
| Doing Business As | LIFESTYLE MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CURTIS A WRIGHT CEO 317-880-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-09-05 |