Lifelong Access

NPI #1124731484 in Normal, Illinois

Provider Information

NPI Number: 1124731484
Entity Type: Organization
Organization Name: Lifelong Access
Primary Specialty: Pediatrics - Developmental - Behavioral Pediatrics
Enumeration Date: Jan 3, 2023
Last Updated: Aug 27, 2024

Practice Location

Address: 1302 FRANKLIN AVE STE L500
City: Normal
State: Illinois
ZIP Code: 61761-3551
Phone: (309) 452-0069

Authorized Official

Name: PATRICK DYCE BAILEY
Title: PROGRAM SUPPORTS SPECIALIST
Phone: (309) 451-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Developmental - Behavioral Pediatrics — Developmental - Behavioral Pediatrics	2080P0006X	Primary

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