| NPI | 1043043433 |
|---|---|
| Doing Business As | LIFESPAN HEALTH SERVICES |
| Doing Business As | LIFESPAN HEALTH |
| Entity Type | Organization |
| Authorized Contact | FLORENCE AMANCHUKWU Admin 317-979-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-10-17 |