| Live Lite Md Llc | |
|
100 Walter Ward Blvd Suite 300 Abingdon MD 21009-1284 | |
| (410) 569-3333 | |
| Not Available |
| Full Name | Live Lite Md Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 100 Walter Ward Blvd, Abingdon, Maryland |
| Authorized Official Name and Position | Ritu T Bhambhani (OWNER) |
| Authorized Official Contact | 4438571416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Lite Md Llc 100 Walter Ward Blvd Suite 300 Abingdon MD 21009-1284 Ph: () - | Live Lite Md Llc 100 Walter Ward Blvd Suite 300 Abingdon MD 21009-1284 Ph: (410) 569-3333 |
| NPI Number | 1942689195 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942689195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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