# OPTIMIZED LIVING INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimized Living Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922404151
- **Authorized official:** DR. DEREK PAUL BRUNER D.C. (CO-OWNER)
- **Authorized official phone:** (225) 339-9911

## Contact information

- **Practice address:** 8775 JEFFERSON HIGHWAY, SUITE E, BATON ROUGE, LA 70809
- **Practice address phone:** (225) 339-9911
- **Practice address fax:** (225) 308-9225
- **Mailing address:** 4700 MILLWOOD DR. \#77559, BATON ROUGE, LA 70879-7559
- **Mailing address phone:** (225) 339-9911
- **Mailing address fax:** (225) 308-9225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 12675 | TX | Yes |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/20/2019