Organization · Type 2 NPI
The Life Center Complex, Inc
General Practice Physician · Dover, DE
NPI number
1124961412
Active
Practice location
852 S Little Creek Rd
Dover, DE 19901-4722
Mailing address
812 Philadelphia Pike Ste F
Wilmington, DE 19809-2371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Public Health & General Preventive Medicine Physician | 2083P0901X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1124961412
The Life Center Complex, Inc's National Provider Identifier is 1124961412, issued on Apr 11, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dover, DE. The record was last updated on Apr 11, 2026.