NPI | 1902861016 |
---|---|
Doing Business As | LIFETIME SKIN CARE CENTERS |
Entity Type | Organization |
Authorized Contact | DREW ANDERSON Owner 765-288-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2006-04-20 |
Last Update Date | 2023-09-11 |