Lsc Aerobic Fitness Boutique is a
Specialist/technologist - Athletic Trainer based in Southfield, Michigan. Lsc Aerobic Fitness Boutique is licensed to practice in * (Not Available) (license number ) and their current practice location is
15565 Northland Dr W Ste 101w, Southfield, Michigan. It can be reached at their office (for appointments etc.) via phone at
(248) 905-3111.
NPI number for Lsc Aerobic Fitness Boutique is 1235640152 and their current mailing address is 22519 Telegraph Rd, Southfield, Michigan. Lsc Aerobic Fitness Boutique
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1235640152.
Healthcare Provider's Profile
Full Name | Lsc Aerobic Fitness Boutique |
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Type | Facility |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 15565 Northland Dr W Ste 101w, Southfield, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235640152
- Provider Enumeration Date: 10/18/2017
- Last Update Date: 05/18/2022
Medical Identifiers
Medical identifiers for Lsc Aerobic Fitness Boutique such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235640152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (Michigan) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lsc Aerobic Fitness Boutique is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lsc Aerobic Fitness Boutique 22519 Telegraph Rd, Southfield, MI 48033-4106 Ph: (248) 688-5806 | Lsc Aerobic Fitness Boutique 15565 Northland Dr W Ste 101w, Southfield, MI 48075-5300 Ph: (248) 905-3111 |
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