Organization
LEAN AGING WELLNESS LIMITED LIABILITY COMPANY
Active
Other names
Lean Aging Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON KUSEK JR. NSCA-CPT, CTNC, CMT (OWNER)
(661) 753-7708
Entity
Organization
Contact information
Practice address
2309 DALLIN ST, LANCASTER, CA 93536-5792
(661) 524-6160
(661) 418-5916
Mailing address
2309 DALLIN ST, LANCASTER, CA 93536-5792
(661) 753-7708
(661) 418-5916
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/21/2022
Last updated
02/22/2025
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