Organization
LIFESTYLE THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA D BAUM MD (OWNER)
(561) 395-0845
Entity
Organization
Contact information
Practice address
2300 GLADES RD, SUITE 305 EAST, BOCA RATON, FL 33431-7386
(561) 395-0845
(561) 218-1773
Mailing address
2300 GLADES RD, SUITE 305 EAST, BOCA RATON, FL 33431-7386
(561) 395-0845
(561) 218-1773
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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