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Organization

LIFELINE SCIENCES LLC

Active
Parent organization
LIFELINE SCIENCES LLC
Other names
Kay FP
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFELINE SCIENCES LLC
Authorized official
LORI SCHULTZ (GROUP DIRECTOR)
(248) 825-3431
Entity
Organization

Contact information

Practice address
24748 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2109
(313) 278-1820
Mailing address
38955 HILLS TECH DR, FARMINGTON HILLS, MI 48331-3431
(248) 825-3431

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/11/2018
Last updated
10/11/2018
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