# GETLEAN15LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lift Personal Training and Nutrition
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922800671
- **Authorized official:** SHAUN ELAINE JOHNSON (OWNER/MASTER TRAINER)
- **Authorized official phone:** (509) 928-0454

## Contact information

- **Practice address:** 21651 E COUNTRY VISTA DR STE C, LIBERTY LAKE, WA 99019-7709
- **Practice address phone:** (509) 928-0454
- **Mailing address:** 21651 E COUNTRY VISTA DR STE C, LIBERTY LAKE, WA 99019-7709
- **Mailing address phone:** (509) 928-0454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2025
- **Last updated:** 03/25/2025