NPI | 1861989105 |
---|---|
Doing Business As | LGN WEIGHT LOSS |
Entity Type | Organization |
Authorized Contact | DONNA THAYER Manager 276-644-2009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101252617) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2018-04-27 |