Organization
TRUE LIFESTYLE MEDICINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL TRUE MD (PHYSICIAN)
(563) 940-4641
Entity
Organization
Contact information
Practice address
2320 WINDSOR CT, DAVENPORT, IA 52807-1438
(563) 940-4641
(888) 959-3948
Mailing address
2320 WINDSOR CT, DAVENPORT, IA 52807-1438
(563) 940-4641
(888) 959-3948
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
34772
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1242487
—
IA
Enumeration date
02/17/2015
Last updated
02/17/2015
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