| NPI | 1205932167 |
|---|---|
| Doing Business As | LIFETIME HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARLASCIO Director Of Operations 585-336-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 018428) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |