Organization
LIFESTYLE WORX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY ANNE EAKIN (PRESIDENT/CEO)
(724) 469-0693
Entity
Organization
Contact information
Practice address
1597 WASHINGTON PIKE STE A14, BRIDGEVILLE, PA 15017-2878
(724) 469-0693
Mailing address
1011 SHERIFFS CT, MC MURRAY, PA 15317-2754
(724) 469-0693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD027808E
PA
Other
Enumeration date
07/28/2011
Last updated
05/13/2015
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