| The Institute Of Lifestyle And Weight Management | |
|
3100 Duraleigh Rd Suite 200 Raleigh NC 27612-8106 | |
| (919) 791-1112 | |
| Not Available |
| Full Name | The Institute Of Lifestyle And Weight Management |
|---|---|
| Speciality | Clinic/center |
| Location | 3100 Duraleigh Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Ezra Brooks Wilkins (PRESIDENT AND CEO) |
| Authorized Official Contact | 9197911112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Institute Of Lifestyle And Weight Management 3100 Duraleigh Rd Suite 200 Raleigh NC 27612-8106 Ph: (919) 791-1112 | The Institute Of Lifestyle And Weight Management 3100 Duraleigh Rd Suite 200 Raleigh NC 27612-8106 Ph: (919) 791-1112 |
| NPI Number | 1609061852 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609061852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 00987496 (North Carolina) | Primary |
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