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1477391274
LIFESMART MEDICAL CENTER PLLC
LINCOLN PARK, MI
NPI
1477391274
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Entity Type
Organization
Authorized Contact
AMITHA PARVATANENI
Owner
313-768-5096
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-07-16
Last Update Date
2024-08-12
Business Address
LIFESMART MEDICAL CENTER PLLC
2176 FORT ST
LINCOLN PARK, MI 48146-2405
Phone number: 313-768-5096
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Mailing Address
LIFESMART MEDICAL CENTER PLLC
2176 FORT ST
LINCOLN PARK, MI 48146-2405
Phone number: 313-768-5096
Copy
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