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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Parent organization
LIFELONG MEDICAL CARE
Other names
LifeLong TRUST Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELONG MEDICAL CARE
Authorized official
MR. MARTIN LYNCH PHD (CHIEF EXECUTIVE OFFICER)
(510) 981-4123
Entity
Organization
Contact information
Practice address
386 14TH ST, OAKLAND, CA 94612-3211
(510) 981-4100
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(510) 981-4122
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
03/31/2022
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