Organization
LIFETIME OB/GYN, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE METOFF M.D. (PRESIDENT)
(262) 754-8000
Entity
Organization
Contact information
Practice address
17280 W NORTH AVE, SUITE 200, BROOKFIELD, WI 53045-4366
(262) 754-8000
(262) 754-8008
Mailing address
17280 W NORTH AVE, SUITE 200, BROOKFIELD, WI 53045-4366
(262) 754-8000
(262) 754-8008
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
283200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32666500
—
WI
Enumeration date
09/15/2006
Last updated
08/22/2020
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