Organization
OPTIMIZED LIVING INSTITUTE
Active
Other names
Optimized Living Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK PAUL BRUNER D.C. (CO-OWNER)
(225) 339-9911
Entity
Organization
Contact information
Practice address
8775 JEFFERSON HIGHWAY, SUITE E, BATON ROUGE, LA 70809
(225) 339-9911
(225) 308-9225
Mailing address
4700 MILLWOOD DR. #77559, BATON ROUGE, LA 70879-7559
(225) 339-9911
(225) 308-9225
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
12675
TX
Other
Enumeration date
11/17/2014
Last updated
11/20/2019
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