Organization
LIFETURN WEIGHT LOSS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL CAROLINE DISON (PRESIDENT / FOUNDER)
(949) 476-8876
Entity
Organization
Contact information
Practice address
1601 DOVE ST, 193, NEWPORT BEACH, CA 92660-2433
(949) 476-8876
(949) 476-3028
Mailing address
1601 DOVE ST, 193, NEWPORT BEACH, CA 92660-2433
(949) 476-8876
(949) 476-3028
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
07/09/2009
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