Lifestyle Medicine Of Rhode Island, LLC
Family Medicine in Johnston, Rhode Island
1568978690- Practice location
- 1524 Atwood Ave Ste 336, Johnston, RI 02919-3228
- Phone
- 401-228-6844
- Fax
- 401-228-6855
- Last updated
- December 27, 2017
Lifestyle Medicine Of Rhode Island, LLC is a healthcare organization based in Johnston, RI. Lifestyle Medicine Of Rhode Island, LLC practices in Johnston, RI. The NPI Number for Lifestyle Medicine Of Rhode Island, LLC is 1568978690 and holds a License No. MD04110 (RI). The current practice location address for Lifestyle Medicine Of Rhode Island, LLC is 1524 Atwood Ave Ste 336, Johnston, RI 02919-3228 and can be reached out via phone at 401-228-6844 and via fax at 401-228-6855.
Provider Profile Details
- NPI Number
- 1568978690
- Provider Name
- Lifestyle Medicine Of Rhode Island, LLC
- Provider Entity Type
- Organization
- Address
- 1524 Atwood Ave Ste 336, Johnston, RI 02919-3228
- Phone Number
- 401-228-6844
- Fax Number
- 401-228-6855
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Martha Mary Fontaine · Practice Manager · 401-228-6844
- Other Names
- Ri Weightloss, LLC (Former Legal Business Name)
- Provider Enumeration Date
- December 27, 2017
- Last Update Date
- December 27, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1524 Atwood Ave Ste 336
Johnston, RI 02919-3228 - City
- Johnston
- State
- Rhode Island
- Zip
- 02919-3228
- Phone Number
- 401-228-6844
- Fax Number
- 401-228-6855
Provider Business Mailing Address Details
- Address
- 1524 Atwood Ave Ste 336
Johnston, RI 02919-3228 - City
- Johnston
- State
- RI
- Zip
- 02919-3228
- Phone Number
- 401-228-6844
- Fax Number
- 401-228-6855
License Information
- License Number (1)
- MD04110
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine, Bariatric Medicine · 207QB0002X
- License Number (2)
- MD04110
- License State (2)
- RI
- Taxonomy (2)
- Preventive Medicine, Obesity Medicine · 2083B0002X
- License Number (3)
- MD04110
- License State (3)
- RI
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Johnston, RI
View all Family Medicine providers in Johnston →Frequently Asked Questions
What is the NPI number of Lifestyle Medicine Of Rhode Island, LLC?
The NPI number of Lifestyle Medicine Of Rhode Island, LLC is 1568978690. It was assigned on December 27, 2017 and is currently active in the NPPES registry.
What is the specialty of Lifestyle Medicine Of Rhode Island, LLC?
Lifestyle Medicine Of Rhode Island, LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number MD04110.
Where does Lifestyle Medicine Of Rhode Island, LLC practice?
The practice location is 1524 Atwood Ave Ste 336, Johnston, RI 02919-3228. The office can be reached at 401-228-6844 (phone) or 401-228-6855 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568978690 directly on the NPPES registry website.