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LIFETIME FAMILY HEALTHCARE PLLC NPI 1851692313


NPI Information

NPI: 1851692313
Provider Name: LIFETIME FAMILY HEALTHCARE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 23D0979645

Address:
4801 MCLEOD DR E
SAGINAW, MI
ZIP 48604
Phone: (989) 790-2709
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LIFETIME FAMILY HEALTHCARE PLLC is a family nurse practitioner in Saginaw, MI. LIFETIME FAMILY HEALTHCARE PLLC NPI is 1851692313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4801 MCLEOD DR E
SAGINAW, MI
ZIP 48604-840
Phone: (989) 790-2709
Fax: (989) 790-7989

The provider's authorized official is Mary A Dymek .
The authorized official title is Nurse Practioner and has the following contact phone number (989) 790-2709.

The CLIA number assigned to this NPI record is 23D0979645 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2010 and was last updated on 11/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyMD109206MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N55310MEDICARE PINMICHIGAN
24522970MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.