LIFETIME MEDICAL CARE PLLC; NPI #1265840037

Contact Information

LIFETIME MEDICAL CARE PLLC

3101 CLEARWATER DR
SUITE B
PRESCOTT, AZ 86305-7180

Phone: 928-237-9014
Fax: 928-237-9063
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for LIFETIME MEDICAL CARE PLLC

NPI Number 1265840037

LBN Legal business name LIFETIME MEDICAL CARE PLLC

Authorized official SHELLY DAMSCHRODER - (MANAGER/OWNER/PROVIDER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/24/2014

Last updated 01/04/2015 - About 11 years ago

Identifiers

AZ	License #	AP7289
AZ	Other	AP7289	NURSE PRACTITIONER LICENSE NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIFETIME MEDICAL CARE PLLC

Contact Information

Specialty

Rural Health

NPI Profile & details for LIFETIME MEDICAL CARE PLLC

Reviews for LIFETIME MEDICAL CARE PLLC