| NPI | 1922990050 |
|---|---|
| Other Name | LIFEBROOK SURGICAL PRACTICE LLC |
| Other Name | LIFEBROOK SURGICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SARAH O CHIMA Physician 862-901-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-12-11 |