| NPI | 1295751261 |
|---|---|
| Doing Business As | LIFETIME HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARLASCIO Vice President Regional Operations 585-336-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 291U00000X Clinical Medical Laboratory | |
| 333600000X Pharmacy | |
| 2085B0100X Radiology, Body Imaging | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 225100000X Physical Therapist | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-08-05 |