LIFESTYLE MEDICINE LLC
Osteopathic Medicine at 8 St, Las Vegas, NM

License number
New Mexico 2000216
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MRS. NANCY KANODE
Title: OFFICER
Phone: (505) 425-2850
Address
Address
1301 8Th St, Las Vegas, NM 87701
National Provider ID: 1245429216
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LIFESTYLE MEDICINE LLC at bizstanding.com

LIFESTYLE MEDICINE, LLC

Las Vegas, NM

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Nov 9, 2000
Addresses:
501 7 Street  , Las Vegas, NM 87701 (Mailing)
1301 8 St, Las Vegas, NM 87701
State ID:
2125284
Business type:
Domestic Limited Liability Company
Nurse Practitioners:
Bradley Kanode (Organizer, Internal Medicine, M,d,),Nancy Kanode (Office Manager, Officer, Principal),Pam S. Holly (Medical Assistant),...

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