Lifetime Family Healthcare PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

MD109206 Issued in MI

Legal business name

LIFETIME FAMILY HEALTHCARE PLLC

Practice address

4801 McLeod Dr E
Saginaw, MI 48604-2840

Phone

(989) 790-2709

Fax

(989) 790-7989

NPI assigned

Nov 15, 2010

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary A Dymek, CFNPNPI 1902838717

Title

Nurse Practioner

Phone

(989) 790-2709

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Dymek, NP

  • Primary Care Nurse Practitioner
  • Saginaw, MI
  • NPI 1902838717
  Authorized official Same address or phone

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1851692313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042840",
            "telephone_number": "989-790-2709",
            "fax_number": "989-790-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME FAMILY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "DYMEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "989-790-2709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "MD109206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4522970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Marie Licht, DO
• Jessica Liebeskind
• Leeann Liermann
• Benjamin P Lievense, BS, DDS.
• Megan Elizabeth Lievense, RDH
• Sylvester Anthony Liggins Jr., MA, LLPC, COO
• Miles P Light, MD
• Lighthouse Therapy Services LLC
• Menelito Dela Cruz Lilagan, D.O.
• James Lile

• Family Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.