| NPI | 1932576477 |
|---|---|
| Doing Business As | LIFECARE PHYSICIANS OF LAWRENCEVILLE |
| Entity Type | Organization |
| Authorized Contact | MARK KELLY VP Finance/ CFO 609-599-5036 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |