| Lifestyle Therapeutics Llc | |
|
2300 Glades Rd Suite 305 East Boca Raton FL 33431-7386 | |
| (561) 395-0845 | |
| (561) 218-1773 |
| Full Name | Lifestyle Therapeutics Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2300 Glades Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Laura D Baum (OWNER) |
| Authorized Official Contact | 5613950845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Therapeutics Llc 2300 Glades Rd Suite 305 East Boca Raton FL 33431-7386 Ph: (561) 395-0845 | Lifestyle Therapeutics Llc 2300 Glades Rd Suite 305 East Boca Raton FL 33431-7386 Ph: (561) 395-0845 |
| NPI Number | 1477883197 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477883197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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