NPI 1053076653
Lifestyle Medical Distributors LLC
Practice location
- Address
- 1484 N Main St, Logan, UT 84341-2224
- Phone
- (435) 265-0380
- Mailing address
- PO Box 402, Logan, UT 84323-0402
Authorised official
- Name
- Zachary Christensen
- Title
- Owner/General Manager
- Phone
- (435) 452-2683
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1053076653
- Entity type
- Organization
- NPI issued
- 8 Nov 2021
- Record last updated
- 24 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.