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1194336313
LIFEPHYSICIAN, LLC
NORFOLK, VA
NPI
1194336313
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Entity Type
Organization
Authorized Contact
AMANDA V. CHANCE
Owner
646-251-1992
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
LIFEPHYSICIAN, LLC
999 WATERSIDE DR STE 2525
NORFOLK, VA 23510-3316
Phone number: 925-824-3198
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Mailing Address
LIFEPHYSICIAN, LLC
5030 E LAKESHORE DR
SAN RAMON, CA 94582-4822
Phone number: 646-251-1992
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