Lifetime Women's Health & Fitness Centers P.c.

NPI #1093068371 in Suffolk, Virginia

Provider Information

NPI Number: 1093068371
Entity Type: Organization
Organization Name: Lifetime Women's Health & Fitness Centers P.c.
Primary Specialty: Specialist
Enumeration Date: Oct 24, 2012
Last Updated: Oct 24, 2012

Practice Location

Address: 1037 CHAMPIONS WAY
Address 2: SUITE 300
City: Suffolk
State: Virginia
ZIP Code: 23435-3764
Phone: (757) 395-7414

Authorized Official

Name: EDWARD ELLISON WING, MD
Title: PRESIDENT
Phone: (757) 395-7414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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