Organization
YOUR BEST LIFE MEDICAL ECLINIC, PLLC
Active
Organization
YOUR BEST LIFE MEDICAL ECLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LYN LATTIMER FNP (OWNER/NURSE PRACTITIONER)
(804) 554-2272
Entity
Organization
Contact information
Practice address
3905 PEGASI RD, HENRICO, VA 23231-2433
(804) 554-2272
(949) 577-4491
Mailing address
3905 PEGASI RD, HENRICO, VA 23231-2433
(804) 554-2272
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568904399
—
VA
Enumeration date
01/16/2023
Last updated
01/16/2023
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