MEDICARE: CAPITAL HEALING LIFESTYLE MEDICINE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083B0002X	Obesity Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1114868718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL HEALING LIFESTYLE MEDICINE, PLLC

Provider Business Mailing Address
First Line	:	1502 W. NC-54 HWY.
Second Line	:	SUITE 405
City	:	DURHAM
State	:	NC
Zip	:	27707
Country	:	US
Telephone Number	:	614-214-6029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 W. NC-54 HWY.
Second Line	:	SUITE 405
City	:	DURHAM
State	:	NC
Zip	:	27707
Country	:	US
Telephone Number	:	614-214-6029
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MEDICAL DOCTOR
Name	:	ANGELA RENEE LIPSCOMB-HUDSON
Credential	:	MD
Telephone Number	:	614-214-6029

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	06/01/2026

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