Organization
LIFEBRIDGE SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZUBEIR AHMED ALI (OWNER)
(480) 745-9593
Entity
Organization
Contact information
Practice address
5600 162ND ST W, LAKEVILLE, MN 55044-2271
(480) 745-9593
Mailing address
5600 162ND ST W, LAKEVILLE, MN 55044-2271
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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