Organization
LIFE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE RENEE GRAWE (BILLING SPECIALIST)
(937) 681-5740
Entity
Organization
Contact information
Practice address
80 TROY TOWN DR, TROY, OH 45373-2328
(937) 681-5740
Mailing address
PO BOX 4428, SIDNEY, OH 45365-4428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35067724
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2563757
—
OH
Enumeration date
10/26/2006
Last updated
08/13/2008
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