# LEJEUNE INTEGRATED MEDICAL CENTERS

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

## Provider details

- **NPI number:** 1538822952
- **Authorized official:** DR. KYLE PRUSSO DC (CLINIC DIRECTOR)
- **Authorized official phone:** (925) 766-8275

## Contact information

- **Practice address:** 530 HAYWOOD RD, GREENVILLE, SC 29607-2711
- **Practice address phone:** (925) 766-8275
- **Mailing address:** 530 HAYWOOD RD, GREENVILLE, SC 29607-2711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2021
- **Last updated:** 05/11/2022