LIFETIME MEDICAL ASSOCIATES P.C. NPI 1174544050

NPI Information

  • NPI: 1174544050
  • Provider Name: LIFETIME MEDICAL ASSOCIATES, P.C.
  • Classification: Internal Medicine - 207RA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 1701 SOUTH BLVD E STE 250
    ROCHESTER HILLS, MI
    ZIP 48307
  • Phone: (248) 293-1002

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NPI Details

LIFETIME MEDICAL ASSOCIATES, P.C. is an adolescent medicine internal medicine in Rochester Hills, MI. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LIFETIME MEDICAL ASSOCIATES, P.C. NPI is 1174544050. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1701 SOUTH BLVD E STE 250
ROCHESTER HILLS, MI
ZIP 48307-123
Phone: (248) 293-1002
Fax: (248) 293-1272

The provider's authorized official is Melissa Mead .
The authorized official title is Billing and has the following contact phone number (248) 293-1002.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 10/28/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0000XInternal MedicineAdolescent MedicineMICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OM73290MEDICARE PINMICHIGAN
23522770MEDICAIDMICHIGAN

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: 11/21/2025

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