Organization
LIFEPLEX URGENT CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA L JONES ENP (MANAGER)
(574) 941-1000
Entity
Organization
Contact information
Practice address
2855 MILLER DR, STE 119, PLYMOUTH, IN 46563-8091
(574) 941-1000
(574) 941-1075
Mailing address
2855 MILLER DR, STE 119, PLYMOUTH, IN 46563-8091
(574) 941-1000
(574) 941-1075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200861600A
—
IN
Enumeration date
02/15/2007
Last updated
12/16/2010
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