Individual
DR. IRWIN LANCE LIFRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 N UNION ST, SUITE 5, WILMINGTON, DE 19805-2731
(302) 654-7317
(302) 654-3042
Mailing address
1010 N UNION ST, SUITE 5, WILMINGTON, DE 19805-2731
(302) 654-7317
(302) 654-3042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10002238
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000548301
—
DE
01
—
4209096
AETNA
DE
Enumeration date
08/01/2006
Last updated
07/25/2008
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