Organization
GETLEAN15LLC
Active
Other names
Lift Personal Training and Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN ELAINE JOHNSON (OWNER)
(208) 962-1107
Entity
Organization
Contact information
Practice address
21651 E COUNTRY VISTA DR, LIBERTY LAKE, WA 99019-7708
(509) 928-0454
Mailing address
21651 E COUNTRY VISTA DR, LIBERTY LAKE, WA 99019-7708
(509) 928-0454
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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