Lifevitality USA Medical Group, LLC
NPI #1811541469 in Richmond Heights, Ohio
Provider Information
- NPI Number
- 1811541469
- Entity Type
- Organization
- Organization Name
- Lifevitality USA Medical Group, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 31, 2019
- Last Updated
- Jul 31, 2019
Practice Location
- Address
- 464 RICHMOND RD STE 202
- City
- Richmond Heights
- State
- Ohio
- ZIP Code
- 44143-2704
- Phone
- (330) 824-4200
Authorized Official
- Name
- KELLI BLACK
- Title
- BILLING MANANGER
- Phone
- (216) 512-5929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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