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Organization

GETLEAN15LLC

Active
Other names
Lift Personal Training and Nutrition
Organization subpart
No

Provider details

NPI number
Authorized official
SHAUN ELAINE JOHNSON (OWNER/MASTER TRAINER)
(509) 928-0454
Entity
Organization

Contact information

Practice address
21651 E COUNTRY VISTA DR STE C, LIBERTY LAKE, WA 99019-7709
(509) 928-0454
Mailing address
21651 E COUNTRY VISTA DR STE C, LIBERTY LAKE, WA 99019-7709
(509) 928-0454

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
261QC1500X
Community Health Clinic/Center
Primary
302R00000X
Health Maintenance Organization
305S00000X
Point of Service

Other

Enumeration date
03/25/2025
Last updated
03/25/2025
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