| Lifestyle Medicine ,llc | |
|
2309 Old Jeanerette Rd New Iberia LA 70563-3040 | |
| (337) 256-5317 | |
| Not Available |
| Full Name | Lifestyle Medicine ,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2309 Old Jeanerette Rd, New Iberia, Louisiana |
| Authorized Official Name and Position | Nicole Roberson (CONSULTANT) |
| Authorized Official Contact | 3375196304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Medicine ,llc 2309 Old Jeanerette Rd New Iberia LA 70563-3040 Ph: (337) 256-5317 | Lifestyle Medicine ,llc 2309 Old Jeanerette Rd New Iberia LA 70563-3040 Ph: (337) 256-5317 |
| NPI Number | 1255922217 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255922217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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