Organization
LIFETIME FAMILY HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY A DYMEK CFNP (NURSE PRACTIONER)
(989) 790-2709
Entity
Organization
Contact information
Practice address
4801 MCLEOD DR E, SAGINAW, MI 48604-2840
(989) 790-2709
(989) 790-7989
Mailing address
4801 MCLEOD DR E, SAGINAW, MI 48604-2840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MD109206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4522970
—
MI
Enumeration date
11/15/2010
Last updated
11/29/2010
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