NPI | 1811407729 |
---|---|
Doing Business As | LIFESTYLE MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | CURTIS WRIGHT CEO Emg 317-880-3939 |
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 | 2025-10-13 |