| NPI | 1710030341 |
|---|---|
| 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 | 213E00000X Podiatrist |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |