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LIFESTYLE MEDICINE OF RHODE ISLAND LLC NPI 1568978690


NPI Information

NPI: 1568978690
Provider Name: LIFESTYLE MEDICINE OF RHODE ISLAND, LLC

Former Legal Business Name: RI WEIGHTLOSS, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 41D2004314

Address:
1524 ATWOOD AVE STE 336
JOHNSTON, RI
ZIP 02919
Phone: (401) 228-6844
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LIFESTYLE MEDICINE OF RHODE ISLAND, LLC is a family medicine in Johnston, RI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIFESTYLE MEDICINE OF RHODE ISLAND, LLC NPI is 1568978690. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ri Weightloss, Llc.

The provider's business location address is:

1524 ATWOOD AVE STE 336
JOHNSTON, RI
ZIP 02919-228
Phone: (401) 228-6844
Fax: (401) 228-6855

The provider's authorized official is Martha Mary Fontaine .
The authorized official title is Practice Manager and has the following contact phone number (401) 228-6844.

The CLIA number assigned to this NPI record is 41D2004314 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 12/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QB0002XFamily MedicineObesity MedicineMD04110RHODE ISLANDNo
22083B0002XPreventive MedicineObesity MedicineMD04110RHODE ISLANDNo
3207Q00000XFamily MedicineMD04110RHODE ISLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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