NPI | 1972635613 |
---|---|
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 | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2025-09-11 |