Lifestyle Therapeutics LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

LIFESTYLE THERAPEUTICS LLC

Practice address

2300 Glades Rd
Suite 305 East
Boca Raton, FL 33431-7386

Phone

(561) 395-0845

Fax

(561) 218-1773

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Authorized official

Name

Laura D Baum, MD

Title

Owner

Phone

(561) 395-0845

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1477883197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GLADES RD",
            "address_2": "SUITE 305 EAST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317386",
            "telephone_number": "561-395-0845",
            "fax_number": "561-218-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GLADES RD",
            "address_2": "SUITE 305 EAST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317386",
            "telephone_number": "561-395-0845",
            "fax_number": "561-218-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-395-0845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifegaines Medical and Aesthetics
• Lifelab MD LLC
• Lifespan Health Services LLC
• Lifestore Medical Supply, LLC
• Lifestyle Dental Group
• Lifetime Health Services Inc
• Ruth B Light, PT
• Lighthouse Medical Supply LLC
• Lighthouse Orthopaedic Associates
• Lighthouse Renal Group PA

• Neurology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.