| The Center For Lifestyle Change | |
|
45 Mcclurg Rd Boardman OH 44512-6737 | |
| (888) 565-6754 | |
| (330) 746-1315 |
| Full Name | The Center For Lifestyle Change |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Mcclurg Rd, Boardman, Ohio |
| Authorized Official Name and Position | Kathleen S Padgitt (PRESIDENT) |
| Authorized Official Contact | 8885656754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Lifestyle Change 45 Mcclurg Rd Boardman OH 44512-6737 Ph: (888) 565-6754 | The Center For Lifestyle Change 45 Mcclurg Rd Boardman OH 44512-6737 Ph: (888) 565-6754 |
| NPI Number | 1730429192 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 10/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730429192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.060428 (Ohio) | Primary |
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