| Fmz Wellness Club Llc | |
|
210 Malabu Dr Ste 212, Lexington, KY 40502-3215 | |
| (561) 779-2123 | |
| Not Available |
| Full Name | Fmz Wellness Club Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 210 Malabu Dr Ste 212, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912770348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Diana Spring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003212515 PECOS PAC ID: 7618270216 Enrollment ID: I20160126002323 |
| Mailing Address | Practice Location Address |
|---|---|
| Fmz Wellness Club Llc 1160 Brick House Ln, Lexington, KY 40509-8563 Ph: () - | Fmz Wellness Club Llc 210 Malabu Dr Ste 212, Lexington, KY 40502-3215 Ph: (561) 779-2123 |
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