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Lifeline Centers, PC

Specialist in Monroeville, PA. Organization (NPI-2).

NPI number1285963967
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1285963967
Entity type
Organization (NPI-2)
Legal business name
Lifeline Centers, PC
Organization subpart
No
Enumeration date
Dec 9, 2009
Certification date
May 27, 2021
Last updated
May 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

1 Monroeville Ctr
Suite 475
Monroeville, PA 15146-4048

Phone 412-351-6545 · Fax 412-273-1958

Mailing address

1525 Park Manor Blvd Ste 308
Pittsburgh, PA 15205-4805

Phone 412-351-6545 · Fax 412-351-6547

Authorized official

Mark Kegg
President/Ceo
4123516545

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