Provider Demographics
NPI:1992558910
Name:REDEFINING STRENGTH LLC
Entity type:Organization
Organization Name:REDEFINING STRENGTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CE)
Authorized Official - Prefix:MS
Authorized Official - First Name:CORI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LEFKOWITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-287-3123
Mailing Address - Street 1:25651 TALADRO CIR STE G
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-3120
Mailing Address - Country:US
Mailing Address - Phone:949-287-3123
Mailing Address - Fax:
Practice Address - Street 1:25651 TALADRO CIR STE G
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-3120
Practice Address - Country:US
Practice Address - Phone:949-287-3123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty