Organization · Type 2 NPI

Liferestore MD USA Nc1 LLC

Multi-Specialty Clinic/Center · Wilmington, NC

NPI number 1417530593 Active

Practice location

1427 Military Cutoff Rd Ste 140
Wilmington, NC 28403-3692

Call (214) 494-8121 Map

Mailing address

3910 Gaston Ave Ste 140
Dallas, TX 75246-1523

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1417530593

Liferestore MD USA Nc1 LLC's National Provider Identifier is 1417530593, issued on May 5, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wilmington, NC. The record was last updated on May 5, 2021.