Lifeworx
Preventive Medicine, Public Health & General Preventive Medicine in Garland, TX. Organization (NPI-2).
NPI number1982256129
StatusActive
Last updated in NPPESJul 9, 2019
Details
- NPI
- 1982256129
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeworx
- Organization subpart
- Yes
- Enumeration date
- Jul 9, 2019
- Last updated
- Jul 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – | Yes |
Other names
- Luna Unlimited (Other Name)
Practice location
6001 Lake Hubbard PkwyGarland, TX 75043-4727
Phone 833-586-2467 · Fax 833-586-2467
Mailing address
5954 Broadway Blvd # 107Garland, TX 75043-5822
Phone 833-586-2467 · Fax 833-586-2467
Authorized official
Lauren Elizabeth Peters
Ceo
8335862467
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