Lifestyle RX Wellness Clinic LLC

Organization Deactivated
NPI 1750234605
Primary Care Nurse Practitioner Danbury, CT

NPI 1750234605 belongs to Lifestyle RX Wellness Clinic LLC, a primary care nurse practitioner with a practice location in Danbury, CT. The NPI was issued on February 19, 2026, and the record was last updated in NPPES on May 4, 2026. This NPI was deactivated on October 5, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X Not listed

Practice location

7 Shannon Ridge Road
Danbury, CT 06810
Phone: (203) 770-5698

Record history

Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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NPPES data as of · Source: CMS NPPES

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