Organization
LIFETIME HRT, PLLC
Active
Other names
Lifetime HRT, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GONDEK BSN, RN (CONSULTANT)
(734) 497-7322
Entity
Organization
Contact information
Practice address
2142 MONROE ST, STE 200, DEARBORN, MI 48124-3057
(734) 497-7322
Mailing address
2142 MONROE ST, STE 200, DEARBORN, MI 48124
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
09/02/2025
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