Organization
LIFETIME MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MEAD (BILLING)
(248) 293-1002
Entity
Organization
Contact information
Practice address
1701 SOUTH BLVD E STE 250, ROCHESTER HILLS, MI 48307-6123
(248) 293-1002
(248) 293-1272
Mailing address
1701 SOUTH BLVD E STE 250, ROCHESTER HILLS, MI 48307-6123
(248) 293-1002
(248) 293-1272
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3522770
—
MI
Enumeration date
07/23/2006
Last updated
10/28/2008
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