Organization
LIFETIME HEALTH TR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CK KLINE (MGR)
(623) 521-2930
Entity
Organization
Contact information
Practice address
515 E CAREFREE HWY, STE 484, PHOENIX, AZ 85085-8839
(623) 521-2930
Mailing address
515 E CAREFREE HWY, STE 484, PHOENIX, AZ 85085-8839
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
00114
AZ
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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