Lifecare of Indiana LLC
NPI #1639748692 in Michigan City, Indiana
Provider Information
- NPI Number
- 1639748692
- Entity Type
- Organization
- Organization Name
- Lifecare of Indiana LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 23, 2021
- Last Updated
- Jul 22, 2022
Practice Location
- Address
- 240 COMMERCE SQ
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-3282
- Phone
- (219) 324-5005
Authorized Official
- Name
- ISAAC J LEESTMA
- Title
- COO / ADMINISTRATOR
- Phone
- (616) 821-3485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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