Organization
LIFESTYLE PHYSICIANS LLC
Active
Organization
LIFESTYLE PHYSICIANS LLC
Active
Parent organization
LIFESTYLE PHYSICIANS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESTYLE PHYSICIANS LLC
Authorized official
SAGAR VERMA (MD)
(540) 829-5773
Entity
Organization
Contact information
Practice address
12330 PINECREST RD STE 125, RESTON, VA 20191-1655
(540) 680-2426
Mailing address
147 ALEXANDRIA PIKE STE 104, WARRENTON, VA 20186-2947
(540) 680-2426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101253031
STATE LICENSE
VA
Enumeration date
02/26/2020
Last updated
02/26/2020
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