# LIFELONG WELLNESS OF OHIO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1275372302
- **Authorized official:** ISRAEL STEIN (MANAGER)
- **Authorized official phone:** (732) 691-0470

## Contact information

- **Practice address:** 31054 STATE ROUTE 93, MC ARTHUR, OH 45651-8925
- **Practice address phone:** (732) 691-0470
- **Mailing address:** 1074 TIMES SQUARE BLVD, LAKEWOOD, NJ 08701-5524
- **Mailing address phone:** (732) 691-0470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2024
- **Last updated:** 05/20/2024