# LIVING WELL MEDICAL PRACTICE LLC

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

## Provider details

- **NPI number:** 1538781455
- **Authorized official:** JOAN WILLIAMSON ARNP (OWNER)
- **Authorized official phone:** (561) 358-1722

## Contact information

- **Practice address:** 7136 S MILITARY TRL STE 10, LAKE WORTH, FL 33463-7812
- **Practice address phone:** (561) 358-1722
- **Mailing address:** 7136 S MILITARY TRL STE 10, LAKE WORTH, FL 33463-7812
- **Mailing address phone:** (561) 358-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2020
- **Last updated:** 11/24/2020