| Lifeoptimized Inc. | |
|
14090 Hg Trueman Rd Ste 2300-710 Solomons MD 20688-3151 | |
| (443) 386-6561 | |
| Not Available |
| Full Name | Lifeoptimized Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14090 Hg Trueman Rd Ste 2300-710, Solomons, Maryland |
| Authorized Official Name and Position | Ira R Burcham (CFO) |
| Authorized Official Contact | 4103406042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeoptimized Inc. 16 Ingate Ter Arbutus MD 21227-3849 Ph: (410) 340-6042 | Lifeoptimized Inc. 14090 Hg Trueman Rd Ste 2300-710 Solomons MD 20688-3151 Ph: (443) 386-6561 |
| NPI Number | 1598306409 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598306409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | () | Secondary |
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