820 LIFESTYLE AND WELLNESS LLC; NPI #1053290783

Contact Information

820 LIFESTYLE AND WELLNESS LLC

134 BRYANT ST
GADSDEN, AL 35901-5516

Phone: 256-504-4484
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for 820 LIFESTYLE AND WELLNESS LLC

NPI #	`1053290783`
LBN Legal business name	820 LIFESTYLE AND WELLNESS LLC
Authorized official	LAWRENCE DUDLEY - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/27/2025
Last updated	08/27/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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