Organization
LIFESTYLE MEDICAL MANUFACTURING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MIDDLETON (OWNER)
(520) 323-0099
Entity
Organization
Contact information
Practice address
6479 E 22ND ST, TUCSON, AZ 85710-5115
(520) 323-0099
(520) 290-6905
Mailing address
6479 E 22ND ST, TUCSON, AZ 85710-5115
(520) 323-0099
(520) 290-6905
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
BHAD1362
AZ
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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