Organization
MERIDIAN WELLNESS, LLC
Active
Other names
Thousand Lakes Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEILANI NAVAR L.AC. (ACUPUNCTURIST)
(802) 999-5936
Entity
Organization
Contact information
Practice address
842 W HWY 12, BOULDER, UT 84716
(435) 335-7700
Mailing address
PO BOX 1497, BOULDER, UT 84716-1497
(435) 335-7700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851635833
INDIVIDUAL NPI
—
Enumeration date
01/18/2019
Last updated
01/18/2019
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