# LIFESTYLE ROCHESTER PC

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

## Provider details

- **NPI number:** 1659841989
- **Authorized official:** DR. CHRISTIAN MOORE (PRACTICE MANAGER)
- **Authorized official phone:** (248) 844-2936

## Contact information

- **Practice address:** 1055 SOUTH BLVD E, STE 210, ROCHESTER HILLS, MI 48307
- **Practice address phone:** (248) 844-2936
- **Practice address fax:** (248) 844-2965
- **Mailing address:** 10555 SOUTH BLVD E, STE 100, ROCHESTER HILLS, MI 48307
- **Mailing address phone:** (248) 844-2936
- **Mailing address fax:** (248) 844-2965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2018
- **Last updated:** 11/29/2018