Lifestyle Worx, LLC
Internal Medicine in Bridgeville, PA. Organization (NPI-2).
NPI number1124306972
StatusActive
Last updated in NPPESMay 13, 2015
Details
- NPI
- 1124306972
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifestyle Worx, LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2011
- Last updated
- May 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD027808E | PA | Yes |
Practice location
1597 Washington Pike Ste A14Bridgeville, PA 15017-2878
Phone 724-469-0693
Mailing address
1011 Sheriffs CtMc Murray, PA 15317-2754
Phone 724-469-0693
Authorized official
Tracey Anne Eakin
President/Ceo
7244690693
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