Premise Health of West Virginia Medical, Medical Corporation
Premise Health of West Virginia Medical, Medical Corporation is a Clinic/Center in Louisville, Kentucky. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
908 W Broadway Fl 8Louisville, KY 40203
Phone: (502) 779-6015
Fax: (502) 589-5258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1104317734 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jon Leizman — President · (216) 479-9063 |
| Other names | L & N Livingwell Health Clinic |
| NPI enumerated | May 18, 2018 |
| Last updated in NPPES | August 15, 2022 |
| Certification date | August 15, 2022 |
| Mailing address | 5500 Maryland Way Ste 120, Brentwood, TN 37027-4993 |
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