Organization
DR. I. L. LIFRAK M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN LANCE LIFRAK (OWNER)
(302) 654-7317
Entity
Organization
Contact information
Practice address
1701 AUGUSTINE CUT OFF STE 1, WILMINGTON, DE 19803-4461
(302) 654-7317
Mailing address
1701 AUGUSTINE CUT OFF STE 1, WILMINGTON, DE 19803-4461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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