Lifestyle Wellness Center, LLC

NPI #1790811784 in Pineville, Missouri

Provider Information

NPI Number: 1790811784
Entity Type: Organization
Organization Name: Lifestyle Wellness Center, LLC
Primary Specialty: Chiropractor - Nutrition
Enumeration Date: Feb 26, 2007
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: LESLI G SMITH
Title: MANAGING MEMBER
Phone: (417) 223-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Nutrition — Nutrition	111NN1001X	Primary

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