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Organization
LIFEOPTIMIZED INC.
Active
Organization
LIFEOPTIMIZED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA R BURCHAM (CFO)
(410) 340-6042
Entity
Organization
Contact information
Practice address
14090 HG TRUEMAN RD STE 2300-710, SOLOMONS, MD 20688-3151
(443) 386-6561
Mailing address
16 INGATE TER, ARBUTUS, MD 21227-3849
(410) 340-6042
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
07/02/2020
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