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Organization

FORGE WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE PATRICK NOLAN DO (OWNER)
(561) 600-0194
Entity
Organization

Contact information

Practice address
169 TEQUESTA DR STE 12E, TEQUESTA, FL 33469-2783
(561) 600-0194
(954) 301-3742
Mailing address
169 TEQUESTA DR STE 12E, TEQUESTA, FL 33469-2783
(561) 600-0194
(954) 301-3742

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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