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Organization

LIFEVIEW CARE CO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS RAY HARMAN M.D. (MEDICAL DIRECTOR)
(952) 426-6427
Entity
Organization

Contact information

Practice address
3600 AMERICAN BLVD W STE 225, BLOOMINGTON, MN 55431-1079
(952) 500-3337
(855) 715-1907
Mailing address
1535 GRANT ST STE 140, DENVER, CO 80203-1843
(952) 500-3337
(855) 715-1907

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609853530
PROVIDER NPI
Enumeration date
08/22/2011
Last updated
12/13/2011
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