| Lifetime Health TR | |
|
515 E Carefree Hwy Ste 484 Phoenix AZ 85085-8839 | |
| (623) 521-2930 | |
| Not Available |
| Full Name | Lifetime Health TR |
|---|---|
| Speciality | Clinic/center |
| Location | 515 E Carefree Hwy, Phoenix, Arizona |
| Authorized Official Name and Position | CK Kline (MGR) |
| Authorized Official Contact | 6235212930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Health TR 515 E Carefree Hwy Ste 484 Phoenix AZ 85085-8839 | Lifetime Health TR 515 E Carefree Hwy Ste 484 Phoenix AZ 85085-8839 Ph: (623) 521-2930 |
| NPI Number | 1932419363 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932419363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 00114 (Arizona) | Primary |
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