# FORGE WELLNESS

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

## Provider details

- **NPI number:** 1801672134
- **Authorized official:** LAWRENCE NOLAN MD (OWNER)
- **Authorized official phone:** (517) 881-6570

## Contact information

- **Practice address:** 169 TEQUESTA DRIVE UNIT 12E, TEQUESTA, FL 33469-2783
- **Practice address phone:** (561) 600-0194
- **Practice address fax:** (954) 301-3742
- **Mailing address:** 169 TEQUESTA DRIVE UNIT 12E, TEQUESTA, FL 33469-2783
- **Mailing address phone:** (561) 600-0194
- **Mailing address fax:** (954) 301-3742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2023
- **Last updated:** 09/04/2023