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Lifetime Medical Care Pllc
Rural Health Clinic/Center in Prescott, Arizona
NPI 1265840037

Lifetime Medical Care Pllc is a Rural Health Clinic/Center based in Prescott, AZ and is specialized in Rural Health. Lifetime Medical Care Pllc practices in Prescott, AZ. The NPI Number for Lifetime Medical Care Pllc is 1265840037 and holds a License No. AP7289 (Arizona).

The current practice location address for Lifetime Medical Care Pllc is 3101 Clearwater Dr, Prescott, AZ and can be reached out via phone at 928-237-9014 and via fax at 928-237-9063.

Location: 3101 Clearwater Dr, Prescott, AZ, 86305-7180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265840037
Provider Name
Lifetime Medical Care Pllc
Credential
Provider Entity Type
Organization
Address
3101 Clearwater Dr, Prescott, AZ, 86305-7180
Phone Number
928-237-9014
Fax Number
928-237-9063
Provider Enumeration Date
07/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP7289 01 AZ NURSE PRACTITIONER LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3101 Clearwater Dr
City
Prescott
State
Arizona
Zip
86305-7180
Phone Number
928-237-9014
Fax Number
928-237-9063
person
Provider Business Mailing Address Details
Address
3101 Clearwater Dr
City
Prescott
State
Arizona
Zip
86305-7180
Phone Number
928-237-9014
Fax Number
928-237-9063
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
AP7289 (Arizona)
Definition
Definition to come...
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