Organization
LIFELINE SCIENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SCHULTZ (GROUP PRACTICE DIRECTOR)
(248) 898-5244
Entity
Organization
Contact information
Practice address
32000 NORTHWESTERN HWY STE 240, FARMINGTON HILLS, MI 48334-1569
(248) 536-0786
Mailing address
38955 HILLS TECH DR, FARMINGTON HILLS, MI 48331-3431
(248) 536-0786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
11/01/2018
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