# MARSHALL LIFESTYLE MEDICINE, PSC

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

## Provider details

- **NPI number:** 1306240049
- **Authorized official:** JOYCE JOHNSON CMA (AAMA) (DIRECTOR OF CLINICAL OPERATIONS)
- **Authorized official phone:** (859) 382-1500

## Contact information

- **Practice address:** 2251 WAR ADMIRAL WAY, SUITE 125, LEXINGTON, KY 40509-2546
- **Practice address phone:** (859) 608-4841
- **Mailing address:** 2251 WAR ADMIRAL WAY STE 125, LEXINGTON, KY 40509-2546
- **Mailing address phone:** (859) 554-8486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 09/30/2026