Lifestyle Worx, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD027808E Issued in PA

Legal business name

LIFESTYLE WORX, LLC

Practice address

1597 Washington Pike Ste A14
Bridgeville, PA 15017-2878

Phone

(724) 469-0693

NPI assigned

Jul 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tracey Anne Eakin

Title

President/Ceo

Phone

(724) 469-0693

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1124306972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SHERIFFS CT",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172754",
            "telephone_number": "724-469-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE STE A14",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172878",
            "telephone_number": "724-469-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE WORX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "EAKIN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "724-469-0693",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD027808E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Healthcare Services Inc
• Laura Leicht
• Hannah Leksell, BS
• Cynthia Ann Levine Hatch, PH.D.
• Wenjin Li, LAC
• Rachel Anne Limpert, MSN, CRNP, FNP-BC
• Jessica Marie Lloyd, NP
• Carl Logan, RF-H.I.S
• Alexandra Lombardo
• Lori L Cherup MD LLC

• Internal Medicine Physician in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.