OrganizationActive
Lifestyle & Integrative Medicine of Tri-Cities PLLC
NPI 1649729385 · Public Health & General Preventive Medicine Physician · Richland, WA
Provider details
- NPI number
- 1649729385
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deepshikha Datta, Physician(509) 943-6800
- License
- MD00037451 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
925 Stevens Dr
Suite # 3d
Richland, WA 99352-3523
Phone: (509) 943-6800
Approximate (ZIP-level) locationGet directions
Mailing address
646 Summit St
Richland, WA 99352-7326
Registry dates
- Enumerated
- 2016-09-22
- Last updated
- 2016-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.