# LIFE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083799357
- **Authorized official:** MRS. JULIE RENEE GRAWE (BILLING SPECIALIST)
- **Authorized official phone:** (937) 681-5740

## Contact information

- **Practice address:** 80 TROY TOWN DR, TROY, OH 45373-2328
- **Practice address phone:** (937) 681-5740
- **Mailing address:** PO BOX 4428, SIDNEY, OH 45365-4428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35067724 | OH | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/13/2008