| Lifestyle Center Of America | |
|
Rr 1 Box 4001 Sulphur OK 73086-9796 | |
| (580) 993-2327 | |
| (580) 993-3902 |
| Full Name | Lifestyle Center Of America |
|---|---|
| Speciality | Clinic/center |
| Location | Rr 1 Box 4001, Sulphur, Oklahoma |
| Authorized Official Name and Position | Kevin Brown (CFO) |
| Authorized Official Contact | 5809932327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Center Of America Rr 1 Box 4001 Sulphur OK 73086-9796 Ph: (580) 993-2327 | Lifestyle Center Of America Rr 1 Box 4001 Sulphur OK 73086-9796 Ph: (580) 993-2327 |
| NPI Number | 1679664080 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679664080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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