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
6469 SYCAMORE CT N, MAPLE GROVE, MN 55369-6028
(763) 276-9443
(888) 440-6946
Mailing address
6469 SYCAMORE CT N, MAPLE GROVE, MN 55369-6028
(763) 276-9443
(888) 440-6946
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
06/16/2026
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