Organization
LITHOLYTE CORPORATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HOLLAND MD (OWNER)
(618) 248-7283
Entity
Organization
Contact information
Practice address
2129 S GLENBURNIE RD STE 18, NEW BERN, NC 28562-2240
(252) 671-2032
Mailing address
3505 BARONS WAY, TRENT WOODS, NC 28562-4549
(252) 671-2032
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
06/17/2025
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