| NPI | 1114449238 |
|---|---|
| Doing Business As | LIFEPLEX FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BYRON HOLM Md 574-936-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01024911A) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2021-05-25 |