Provider Demographics
NPI:1902639800
Name:FIT LIVING IN PROGRESS
Entity type:Organization
Organization Name:FIT LIVING IN PROGRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:LANKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:667-400-3570
Mailing Address - Street 1:1125 WEST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4279
Mailing Address - Country:US
Mailing Address - Phone:667-400-3570
Mailing Address - Fax:667-400-6313
Practice Address - Street 1:1125 WEST ST STE 200
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4279
Practice Address - Country:US
Practice Address - Phone:667-400-3570
Practice Address - Fax:667-400-6313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty