Organization
LIFE LINE TECHNOLOGIES, INC DBA XSTREMEMD
Active
Other names
XstremeMD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LYLE ODINET MD (CMO)
(337) 704-0981
Entity
Organization
Contact information
Practice address
1028 FORUM DR, BROUSSARD, LA 70518-8060
(337) 704-0891
(337) 704-2974
Mailing address
1028 FORUM DR, BROUSSARD, LA 70518-8060
(337) 704-0891
(337) 704-2974
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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