# OZARK CENTER FOR LIFESTYLE MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ozark Center for Lifestyle Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831791094
- **Authorized official:** DR. CYNTHIA LOUISE MORGAN MD, MPH (FOUNDER AND EXECUTIVE DIRECTOR)
- **Authorized official phone:** (479) 325-4859

## Contact information

- **Practice address:** 2894 N MCKEE CIR STE 120, FAYETTEVILLE, AR 72703-3498
- **Practice address phone:** (870) 505-4619
- **Mailing address:** 164 NC 9203, PETTIGREW, AR 72752
- **Mailing address phone:** (870) 505-4619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/12/2020
- **Last updated:** 12/19/2020