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NPI Code Detail

MEDICARE: LEANFITRX LLC

MEDICARE: LEANFITRX LLC
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
1202D00000XIntegrative Medicine Physician

General Provider Information

NPI Number : 1871318428
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEANFITRX LLC
Provider Business Mailing Address
First Line : 5 FRENCHMENS KY
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23185-8621
Country : US
Telephone Number : 251-599-0353
Fax Number :
Provider Business Practice Location Address
First Line : 930 S 4TH ST STE 209
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6845
Country : US
Telephone Number : 251-599-0353
Fax Number :
Authorized Official
Title or Position : NP/OWNER
Name : SHELDON SCOTT BRADLEY
Credential : NP-C
Telephone Number : 251-599-0353
Provider Enumeration Date : 11/19/2024
Last Update Date : 11/19/2024

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Directions to “LEANFITRX LLC ” Practice Location

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