| NPI | 1982395117 |
|---|---|
| Former Legal Business Name | LAVITA WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | MARGGIE RODRIGUEZ Adminstrator 939-271-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |