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Lifestyle Performance Medicine
Specialist in Orange Beach, Alabama
NPI 1922451376

Lifestyle Performance Medicine is a Specialist based in Pensacola, AL. Lifestyle Performance Medicine practices in Orange Beach, AL. The NPI Number for Lifestyle Performance Medicine is 1922451376 and holds a License No. MD34871 (Alabama).

The current practice location address for Lifestyle Performance Medicine is 24847 Commercial Ave, Orange Beach, AL and can be reached out via phone at 251-979-2067.

Location: 24847 Commercial Ave, Orange Beach, AL, 32504-6957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922451376
Provider Name
Lifestyle Performance Medicine
Credential
Provider Entity Type
Organization
Address
24847 Commercial Ave, Orange Beach, AL, 32504-6957
Phone Number
251-979-2067
Fax Number
Provider Enumeration Date
07/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9108469 01 FL MEDICAL LICENSE-FLORIDA
MD34871 01 AL MEDICAL LICENSE-ALABAMA
PA1108 01 AL MEDICAL LICENSE-ALABAMA
ME83357 01 FL MEDICAL LICENSE-FLORIDA
institution
Provider Business Practice Location Address Details
Address
24847 Commercial Ave
City
Orange Beach
State
Alabama
Zip
36561-3845
Phone Number
251-979-2067
Fax Number
person
Provider Business Mailing Address Details
Address
24847 Commercial Ave
City
Orange Beach
State
Alabama
Zip
36561-3845
Phone Number
251-979-2067
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD34871 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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