| NPI | 1073936662 |
|---|---|
| Doing Business As | LIFETIME HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARLASCIO Vice President Of Operations 585-389-6066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |