| Your Best Life Medical Eclinic, Pllc | |
|
3905 Pegasi Rd Henrico VA 23231-2433 | |
| (804) 554-2272 | |
| (949) 577-4491 |
| Full Name | Your Best Life Medical Eclinic, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3905 Pegasi Rd, Henrico, Virginia |
| Authorized Official Name and Position | Michele Lyn Lattimer (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 8045542272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Best Life Medical Eclinic, Pllc 3905 Pegasi Rd Henrico VA 23231-2433 Ph: (804) 554-2272 | Your Best Life Medical Eclinic, Pllc 3905 Pegasi Rd Henrico VA 23231-2433 Ph: (804) 554-2272 |
| NPI Number | 1588379580 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588379580 | NPI | - | NPPES |
| 1568904399 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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