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NPI Provider: 1720084163
Contact Name: LYNCH MARTY
Position: CEO
Phone: (510) 981-4100
Lifelong Medical Care, Inc Information:
Lifelong Medical Care, Inc organization have npi 1720084163, taxonomy code is 207QA0000X with license number is E0998 in . This Business address located in PO Box 11247, Berkeley, CA 94712 California. Get directions of Lifelong Medical Care, Inc.
Practice Location
Address: 2031 6th St, Berkeley, CA 94710
Phone: (510) 981-4200
Business Location
Address: PO Box 11247, Berkeley, CA 94712
Phone: (510) 981-4100
Fax: (806) 788-0015
Taxonomy
Taxonomy Code: 207QA0000X
License Number: E0998
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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