Organization
LIFESTYLE CONSULTING , PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERYL ANNE INGRAM RN (VICE PRESIDENT)
(317) 217-9389
Entity
Organization
Contact information
Practice address
118 CHEROKEE LN, NOBLESVILLE, IN 46062-9073
(317) 774-0291
Mailing address
118 CHEROKEE LN, NOBLESVILLE, IN 46062-9073
(317) 774-0291
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
55000038
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55000038
HEALTH PROFESSIONAL CORPO
IN
Enumeration date
07/20/2007
Last updated
07/20/2007
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