| Lifetime Urgent Care Pllc | |
|
2469 W Hill Rd Flint MI 48507-3883 | |
| (810) 407-6039 | |
| Not Available |
| Full Name | Lifetime Urgent Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2469 W Hill Rd, Flint, Michigan |
| Authorized Official Name and Position | Wade Dilley (OWNER) |
| Authorized Official Contact | 8104076039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Urgent Care Pllc 2469 W Hill Rd Flint MI 48507-3883 Ph: (810) 407-6039 | Lifetime Urgent Care Pllc 2469 W Hill Rd Flint MI 48507-3883 Ph: (810) 407-6039 |
| NPI Number | 1467983817 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 09/18/2017 |
| Medicare PECOS PAC ID | 3375820806 |
|---|---|
| Medicare Enrollment ID | O20170510000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467983817 | NPI | - | NPPES |
| Provider Name | Ralph Scott Lazzara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710978689 PECOS PAC ID: 4486546595 Enrollment ID: I20041223000185 |
| Provider Name | Krisha L Horger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780639302 PECOS PAC ID: 6709890049 Enrollment ID: I20060126000098 |
| Provider Name | Jessica Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922519958 PECOS PAC ID: 4284997214 Enrollment ID: I20180404001610 |
| Provider Name | Kerri Lynn Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821562562 PECOS PAC ID: 0446593339 Enrollment ID: I20190516000767 |
| Provider Name | Barry Michael Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366881112 PECOS PAC ID: 2062777519 Enrollment ID: I20190822001195 |
| Provider Name | Toni Detwiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861910416 PECOS PAC ID: 4688001415 Enrollment ID: I20200217003399 |
| Provider Name | Elyse A Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467145474 PECOS PAC ID: 1759732035 Enrollment ID: I20240111000665 |
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