# LIVE LITE MD LLC

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

## Provider details

- **NPI number:** 1942689195
- **Authorized official:** DR. RITU T BHAMBHANI (OWNER)
- **Authorized official phone:** (443) 857-1416

## Contact information

- **Practice address:** 100 WALTER WARD BLVD, SUITE 300, ABINGDON, MD 21009-1284
- **Practice address phone:** (410) 569-3333
- **Mailing address:** 100 WALTER WARD BLVD, SUITE 300, ABINGDON, MD 21009-1284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 08/02/2016