Provider Demographics
NPI:1124842919
Name:LOVE YOUR LEGS, INC
Entity type:Organization
Organization Name:LOVE YOUR LEGS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:707-500-2262
Mailing Address - Street 1:228 PARK AVE S STE 300
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1502
Mailing Address - Country:US
Mailing Address - Phone:928-308-5237
Mailing Address - Fax:
Practice Address - Street 1:4130 COMMERCE ST APT 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-1727
Practice Address - Country:US
Practice Address - Phone:928-308-5237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty