# LIFESTYLE & INTEGRATIVE MEDICINE OF TRI-CITIES PLLC

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

## Provider details

- **NPI number:** 1649729385
- **Authorized official:** DEEPSHIKHA DATTA M.D. (PHYSICIAN)
- **Authorized official phone:** (509) 943-6800

## Contact information

- **Practice address:** 925 STEVENS DR, SUITE \# 3D, RICHLAND, WA 99352-3523
- **Practice address phone:** (509) 943-6800
- **Mailing address:** 646 SUMMIT ST, RICHLAND, WA 99352-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | MD00037451 | WA | Yes |

## Other

- **Enumeration date:** 09/22/2016
- **Last updated:** 09/22/2016