Organization
MEDICAL CENTER FOR HEALTHY WEIGHT LOSS, INC.
Active
Other names
LiveLyte Medical Weight Management
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY ULMER MICHELSEN M.D. (PRESIDENT)
(410) 721-9153
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 605, ANNAPOLIS, MD 21401-3742
(410) 266-5667
(410) 266-9332
Mailing address
2419 FOX CREEK LN, DAVIDSONVILLE, MD 21035-1152
(410) 721-9153
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D26199
MD
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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