Organization
LIFE FORCE HYPNOSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE CLARKE MCCORMACK L.C.D.P. (MEMBER)
(401) 737-4685
Entity
Organization
Contact information
Practice address
1845 POST RD, SUITE 10, WARWICK, RI 02886-1543
(401) 737-4685
(401) 737-4685
Mailing address
1845 POST RD, SUITE 10, WARWICK, RI 02886-1543
(401) 737-4685
(401) 737-4685
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
LCDP00439
RI
305R00000X
Preferred Provider Organization
LCDP00439
RI
305S00000X
Point of Service
Primary
LCDP00439
RI
Other
Enumeration date
10/30/2008
Last updated
11/01/2008
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