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Organization

LIFEWAY HEALTH & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY WOODARD APRN (CEO)
(763) 438-3814
Entity
Organization

Contact information

Practice address
6964 SYCAMORE CT N, MAPLE GROVE, MN 55369
(763) 438-3814
Mailing address
3720 152ND LN NW, ANDOVER, MN 55304-3010
(763) 438-3814

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
07/07/2023
Last updated
11/11/2023
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