# LIFETIME MEDICAL ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1174544050
- **Authorized official:** MRS. MELISSA MEAD (BILLING)
- **Authorized official phone:** (248) 293-1002

## Contact information

- **Practice address:** 1701 SOUTH BLVD E STE 250, ROCHESTER HILLS, MI 48307-6123
- **Practice address phone:** (248) 293-1002
- **Practice address fax:** (248) 293-1272
- **Mailing address:** 1701 SOUTH BLVD E STE 250, ROCHESTER HILLS, MI 48307-6123
- **Mailing address phone:** (248) 293-1002
- **Mailing address fax:** (248) 293-1272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | MI | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 10/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3522770 | — | MI |