Lifetime Family Care, P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101015717 Issued in MI

Legal business name

LIFETIME FAMILY CARE, P.L.L.C.

Practice address

31022 Utica Rd
Fraser, MI 48026-2534

Phone

(586) 293-1340

Fax

(586) 293-7079

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ia Yang Kue, D.O.

Title

Physician

Phone

(586) 293-1340

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1336185347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31022 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262534",
            "telephone_number": "586-293-1340",
            "fax_number": "586-293-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31022 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262534",
            "telephone_number": "586-293-1340",
            "fax_number": "586-293-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME FAMILY CARE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "KUE",
        "authorized_official_first_name": "IA",
        "authorized_official_middle_name": "YANG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-293-1340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4977139",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Lawson
• Justin A Leath, D.D.S.
• Tyesha Cierra Lewis
• Jaye Alexandra Liberman, 0.D.
• Kellie Marie Liebau, RN
• Christopher Loewe, MD
• David Henry Luehmann, DDS
• Ryan Matthew Lukowski, D.C.
• Nikole L. Maddes, PA
• Natalie Maes

• Family Medicine Physician in Fraser, MI
• Providers in Fraser, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.