# TRUE LIFESTYLE MEDICINE CLINIC, LLC

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

## Provider details

- **NPI number:** 1740671387
- **Authorized official:** DR. CHERYL TRUE MD (PHYSICIAN)
- **Authorized official phone:** (563) 940-4641

## Contact information

- **Practice address:** 2320 WINDSOR CT, DAVENPORT, IA 52807-1438
- **Practice address phone:** (563) 940-4641
- **Practice address fax:** (888) 959-3948
- **Mailing address:** 2320 WINDSOR CT, DAVENPORT, IA 52807-1438
- **Mailing address phone:** (563) 940-4641
- **Mailing address fax:** (888) 959-3948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 34772 | IA | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 02/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1242487 | — | IA |