| NPI | 1205857265 |
|---|---|
| Doing Business As | LIFETIME HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA AMBRES President 716-857-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NY 027327) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |