Live Lite MD LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LIVE LITE MD LLC

Practice address

100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1284

Phone

(410) 569-3333

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ritu T Bhambhani

Title

Owner

Phone

(443) 857-1416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1942689195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "SUITE 300",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "SUITE 300",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091284",
            "telephone_number": "410-569-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LITE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "BHAMBHANI",
        "authorized_official_first_name": "RITU",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-857-1416",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Lee
• Zanaida Nichole Lee, MS, LPC, LMHC
• Donald Christopher Lindauer, PA-C
• Robert S Linsey, DC
• Kimberlie S Little, PHARMD
• James Edward Loskot, OD
• Daniel C Lyons, PHARMD
• Brianne Lesia Maheady, DPT
• Candice Amber Manning, AU.D., PH.D.
• Hugo Manrique-Paz

• Multi-Specialty Clinic/Center in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.