NPIMap

Organization Active NPI

Lifetime Urgent Care PLLC

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1235640335
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFETIME URGENT CARE PLLC
Practice address
2469 W Hill Rd
Flint, MI 48507-3883
Phone
(810) 407-6039
Fax
(810) 407-8834
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ralph S LazzaraNPI 1710978689
Title
Physician
Phone
(810) 407-6039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2469 W Hill Rd
Flint, MI 48507-3883

Mailing address

2469 W Hill Rd
Flint, MI 48507-3883

Other names 1

  • Mundy Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

2469 W Hill Rd
Flint, MI 48507
Phone (810) 407-6039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1235640335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 W HILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 W HILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073883",
            "telephone_number": "810-407-6039",
            "fax_number": "810-407-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "LAZZARA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-407-6039"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mundy Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.