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Organization
LIFELINE VASCULAR CENTER - ALBANY, LLC
Active
Organization
LIFELINE VASCULAR CENTER - ALBANY, LLC
Active
Other names
Vascular Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LOHMEYER (CFO)
(847) 949-3855
Entity
Organization
Contact information
Practice address
2300 DAWSON RD STE 100, ALBANY, GA 31707-2804
(229) 888-6466
(229) 888-5464
Mailing address
1 PARKWAY NORTH BLVD STE 200S, DEERFIELD, IL 60015-2534
(847) 388-2001
(847) 388-2020
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134472A
—
GA
Enumeration date
01/25/2013
Last updated
02/19/2024
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