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Organization

LIFETIME WELLNESS CENTER, INC.

Active
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Organization

LIFETIME WELLNESS CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD JWA L.AC. (CEO)
(213) 344-6905
Entity
Organization

Contact information

Practice address
435 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3043
(213) 479-0009
Mailing address
435 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3043

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—

Other

Enumeration date
05/21/2015
Last updated
05/21/2015
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