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Organization
PATRICIA D LIFRAK MD INC
Active
Organization
PATRICIA D LIFRAK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA D LIFRAK MD (PRESIDENT)
(302) 328-4392
Entity
Organization
Contact information
Practice address
287 CHRISTIANA RD, SUITE 8, NEW CASTLE, DE 19720-2978
(302) 328-4392
(302) 689-0122
Mailing address
5 YORKRIDGE TRAIL, HOCKESSIN, DE 19707
(302) 328-4392
(302) 689-0122
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
C1-0003713
DE
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
C10003713
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021561
—
DE
01
—
P00367274
RR MEDICARE
—
Enumeration date
08/07/2006
Last updated
07/09/2010
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