# ROCHESTER LIFESTYLE MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013380823
- **Authorized official:** DR. TED D BARNETT M.D. (MEMBER)
- **Authorized official phone:** (585) 533-1368

## Contact information

- **Practice address:** 1441 EAST AVE, SUITE 108, ROCHESTER, NY 14610-1665
- **Practice address phone:** (585) 484-1254
- **Mailing address:** PO BOX 22844, ROCHESTER, NY 14692-2844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2015
- **Last updated:** 03/08/2016
