Organization
LIFEPLEX MEDICAL INC
Active
Other names
LifePlex Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON HOLM MD (MD)
(574) 936-7777
Entity
Organization
Contact information
Practice address
2855 MILLER DR STE 117, PLYMOUTH, IN 46563-8091
(574) 936-7777
(574) 941-1072
Mailing address
2855 MILLER DR STE 117, PLYMOUTH, IN 46563-8091
(574) 936-7777
(574) 941-1072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024911A
IN
261QU0200X
Urgent Care Clinic/Center
—
IN
Other
Enumeration date
07/11/2017
Last updated
05/25/2021
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