Provider Demographics
NPI:1033935663
Name:LIFE HACK MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:LIFE HACK MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FIGARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-219-5345
Mailing Address - Street 1:14503 MAIN ST # B
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3010
Mailing Address - Country:US
Mailing Address - Phone:301-219-5345
Mailing Address - Fax:
Practice Address - Street 1:14503 MAIN ST # B
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3010
Practice Address - Country:US
Practice Address - Phone:301-219-5345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty