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NPI Provider: 1013913300
Contact Name: LYNCH MARTY
Position: CEO
Phone: (510) 981-4100
Lifelong Medical Care Information:
Lifelong Medical Care organization have npi 1013913300, taxonomy code is 1223G0001X with license number is 22734 in . This Business address located in PO Box 11247, Berkeley, CA 94712 California. Get directions of Lifelong Medical Care.
Practice Location
Address: 1860 Alcatraz Ave, Berkeley, CA 94703
Phone: (510) 653-8500
Business Location
Address: PO Box 11247, Berkeley, CA 94712
Phone: (510) 981-4100
Taxonomy
Taxonomy Code: 1223G0001X
License Number: 22734
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/22/2005
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