| Tlc: The Lifestyle Center | |
|
140 Mine Lake Ct Suite 200 Raleigh NC 27615-6417 | |
| (919) 307-9665 | |
| Not Available |
| Full Name | Tlc: The Lifestyle Center |
|---|---|
| Speciality | Clinic/center |
| Location | 140 Mine Lake Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Krishana Clark (OWNER, CHIROPRACTOR) |
| Authorized Official Contact | 9193079665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc: The Lifestyle Center 140 Mine Lake Ct Suite 200 Raleigh NC 27615-6417 Ph: () - | Tlc: The Lifestyle Center 140 Mine Lake Ct Suite 200 Raleigh NC 27615-6417 Ph: (919) 307-9665 |
| NPI Number | 1770956195 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 11/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770956195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4560 (North Carolina) | Primary |
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