| 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 |