Lifestyle Wellness Center LLC

NPI #1780859272 in Pineville, Missouri

Provider Information

NPI Number: 1780859272
Entity Type: Organization
Organization Name: Lifestyle Wellness Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 25, 2008
Last Updated: Apr 25, 2008

Practice Location

Address: 307 MAIN STREET
City: Pineville
State: Missouri
ZIP Code: 64856
Phone: (417) 223-4103

Authorized Official

Name: MRS. LESLI G SMITH
Title: OWNER
Phone: (417) 223-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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