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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Parent organization
LIFELONG MEDICAL CARE
Other names
LifeLong Emeryville 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
4727 SAN PABLO AVE, ROOM B214, EMERYVILLE, CA 94608-3035
(510) 981-4100
Mailing address
2344 6TH ST, BERKELEY, CA 94710-2412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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