NPI 1255922217
Lifestyle Medicine ,LLC
Practice location
- Address
- 2309 Old Jeanerette Rd, New Iberia, LA 70563-3040
- Phone
- (337) 256-5317
Authorised official
- Name
- Nicole Roberson
- Title
- Consultant
- Phone
- (337) 519-6304
Registered specialties (2)
Internal Medicine Physician
Primary
Clinic/Center
Registry record
- NPI
- 1255922217
- Entity type
- Organization
- NPI issued
- 1 Feb 2021
- Record last updated
- 22 Feb 2021
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.