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Organization

LIFEWAY INC

Active
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Organization

LIFEWAY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARAH J. LEE D.O. (PRESIDENT)
(954) 772-8554
Entity
Organization

Contact information

Practice address
5333 N DIXIE HWY, SUITE 110, OAKLAND PARK, FL 33334-3414
(954) 772-8554
(954) 772-9662
Mailing address
5333 N DIXIE HWY, SUITE 110, OAKLAND PARK, FL 33334-3414
(954) 772-8554
(954) 772-9662

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS6563
FL

Other

Enumeration date
07/30/2006
Last updated
06/21/2018
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