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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFELINE INTERVENTIONAL THERAPEUTICS, PLLC

Active Organization

LIFELINE INTERVENTIONAL THERAPEUTICS, PLLC is a Psychiatry organization located in GRAND RAPIDS, Michigan. NPI 1912726811 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · GRAND RAPIDS, MI

Registration Details

NPI Number
1912726811
Provider Type
Organization
NPI Issued
Oct 8, 2024 (1.8735746533593 yrs)
Last Updated
Dec 6, 2024

Practice Information

Address
1179 E PARIS AVE SE STE 100
GRAND RAPIDS, MI, 495463682
Browse MI providers · Browse ZIP 49546
Phone
6164005433
Fax
6163602034
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
2084P2900X
Additional Specialty
Physician Assistant
Additional Specialty
Psychiatry
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.