Lifeoptimized - Bennermedical INC

NPI #1538794250 in Solomons, Maryland

Provider Information

NPI Number: 1538794250
Entity Type: Organization
Organization Name: Lifeoptimized - Bennermedical INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 4, 2020
Last Updated: Oct 28, 2020

Practice Location

Address: 14090 HG TRUEMAN RD STE 2300
City: Solomons
State: Maryland
ZIP Code: 20688-3151
Phone: (443) 386-6561

Authorized Official

Name: JAMES NICHOLS
Title: ADMINISTRATOR
Phone: (443) 386-6561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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