Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIFESPARK MEDICAL GROUP, PA
Active OrganizationLIFESPARK MEDICAL GROUP, PA is a Geriatric Medicine organization located in ST LOUIS PARK, Minnesota. NPI 1427551746 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1427551746
- Provider Type
- Organization
- NPI Issued
- Mar 13, 2018 (8.4477505395951 yrs)
- Last Updated
- May 2, 2022
Practice Information
- Address
-
5320 W 23RD ST STE 130ST LOUIS PARK, MN, 554161670Browse MN providers · Browse ZIP 55416
- Phone
- 9523458770
- Fax
- 9523458871
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.