National Provider Identifier Database

LIFESTYLE HEALTH AND WELLNESS
Health Service


Contact Information

LIFESTYLE HEALTH AND WELLNESS
65 E 1ST AVE
STE 101
MESA, AZ85210-1456
Phone: 480-962-4649
Fax: 480-962-8617
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for LIFESTYLE HEALTH AND WELLNESS

NPI Number 1417349051
Legal business name
LBN
LIFESTYLE HEALTH AND WELLNESS
Authorized official RONALD MCGEE - (MEMBER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/19/2015
Last updated 02/19/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 8452

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LIFESTYLE HEALTH AND WELLNESS

There are currently no reviews for LIFESTYLE HEALTH AND WELLNESS


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