# LIFESOURCE HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFESOURCE HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477136778
- **Authorized official:** TIMOTHY LOUIS VIERHELLER DC (PARTNER)
- **Authorized official phone:** (419) 961-5110

## Contact information

- **Practice address:** 4483 WEYMOUTH RD, MEDINA, OH 44256-8601
- **Practice address phone:** (330) 764-3434
- **Practice address fax:** (330) 725-8746
- **Mailing address:** 4483 WEYMOUTH RD, MEDINA, OH 44256-8601
- **Mailing address phone:** (330) 764-3434
- **Mailing address fax:** (330) 725-8746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 05/04/2021