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Organization
LIFESTYLE OXYGEN, INC.
Active
Organization
LIFESTYLE OXYGEN, INC.
Active
Other names
Lifestyle Sleep Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WEILAND (TREASURER)
(248) 887-5762
Entity
Organization
Contact information
Practice address
2669 UNION LAKE RD, SUITE C, COMMERCE TOWNSHIP, MI 48382-3590
(248) 887-5762
(248) 887-3119
Mailing address
2669 UNION LAKE RD, SUITE C, COMMERCE TOWNSHIP, MI 48382-3590
(248) 887-5762
(248) 887-3119
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F338900
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/14/2007
Last updated
07/21/2022
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