Bio-lifecycle Medical Centers, Pllc

NPI 1003159617 - Preventive Medicine - 2083P0901X

NPI Details
NPI 1003159617
Enumeration Date 04/02/2013
Last Updated 04/02/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MIKE MIKE
Position COO
Phone (919) 851-9100
Fax
Practice Location
4201 LAKE BOONE TRL
STE 005
RALEIGH NC, 27607-7512, US
Phone (919) 851-9100
Fax
Business Location
4201 LAKE BOONE TRL
STE 005
RALEIGH NC, 27607-7512, US
Phone (919) 851-9100
Fax
Toxanomy
Taxonomy Code 2083P0901X
License State North Carolina
License Number 39759
Remove 1003159617 NPI Number
 

According to our database, Bio-lifecycle Medical Centers, Pllc NPI is 1003159617, taxonomy code is 2083P0901X and license number is 39759, license state is located at North Carolina. Bio-lifecycle Medical Centers, Pllc physically located at 4201 Lake Boone Trl, Raleigh NC, 27607-7512. NPI Number 1033115704 has the healthcare provider type.

1003159617 NPI number is provided on an as is basis without warranty of any kind. 1003159617 is maintained by the National Plan & Provider Enumeration System. The contents of Bio-lifecycle Medical Centers, Pllc are for informational purposes only.