| NPI | 1902873003 |
|---|---|
| Doing Business As | LIFETIME MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRIAN T SMITH VP/Authorized Official 312-942-6909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-08-09 |