Lifebridge Medical LLC
NPI #1003589706 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1003589706
- Entity Type
- Organization
- Organization Name
- Lifebridge Medical LLC
- Primary Specialty
- Pain Medicine - Pain Medicine
- Enumeration Date
- Jul 28, 2021
- Last Updated
- Aug 5, 2021
Practice Location
- Address
- 1211 N SHARTEL AVE STE 801
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73103-2425
- Phone
- (405) 504-5433
Authorized Official
- Name
- LEE MAC GERMANY, PA-C
- Title
- PHYSICIAN ASSISTANT CEO
- Phone
- (405) 504-5433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Pain — Pain |
| Physician Assistant - Medical — Medical |
| Pain Medicine - Pain Medicine — Pain Medicine |
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