Lifestyle Physicians Llc | |
147 Alexandria Pike Ste 104 Warrenton VA 20186-2947 | |
(866) 883-7837 | |
Not Available |
Full Name | Lifestyle Physicians Llc |
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Speciality | Internal Medicine |
Location | 147 Alexandria Pike Ste 104, Warrenton, Virginia |
Authorized Official Name and Position | Sagar Verma (SOLE OWNER) |
Authorized Official Contact | 8668837837 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifestyle Physicians Llc 147 Alexandria Pike Ste 104 Warrenton VA 20186-2947 Ph: (866) 883-7837 | Lifestyle Physicians Llc 147 Alexandria Pike Ste 104 Warrenton VA 20186-2947 Ph: (866) 883-7837 |
NPI Number | 1134669211 |
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Provider Enumeration Date | 03/08/2017 |
Last Update Date | 03/08/2017 |
Medicare PECOS PAC ID | 1951678747 |
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Medicare Enrollment ID | O20170526001517 |
Identifier | Type | State | Issuer |
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1134669211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 0101253031 (Virginia) | Primary |
Provider Name | Rebecca Rose Hazen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477261139 PECOS PAC ID: 4587024526 Enrollment ID: I20230721001829 |
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