Susan Ruth Lifer is a Pediatrics in Lincoln, Maine. Susan Ruth Lifer practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Ruth Lifer is 1124095419. The last update date is 2007-07-09.
Susan Ruth Lifer's current location address is 100 Taylor St, Lincoln, Maine. You can contact this provider via phone number 2077948025. The mailing address for Susan Ruth Lifer is 100 Taylor St, Lincoln, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Ruth Lifer |
|---|---|
| Address | 100 Taylor St, Lincoln, Maine |
| Phone Number | 2077948025 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1124095419 |
|---|---|
| Provider Enumeration Date | 2006-03-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 100 Taylor St |
|---|---|
| City | Lincoln |
| State | Maine (ME) |
| Post Code | 44571167 |
| Phone Number | 2077948025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT#618 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24694 | ME | ANTHEM BC/BS | |
| 5312641 | ME | AETNA PROVIDER ID |
Post Comment/ Review Below
What is the Susan Ruth Lifer's unique identification number?
The Susan Ruth Lifer has been assigned the NPI (National Provider Identifier) Number 1124095419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Susan Ruth Lifer?
The Susan Ruth Lifer is situated at 100 Taylor St, in the city of Lincoln, state of ME, with the zip code 44571167.
What is the area of specialization for Susan Ruth Lifer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Ruth Lifer is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124095419 to Susan Ruth Lifer?
The Susan Ruth Lifer received its 1124095419 assignment from the Centers for Medicare & Medicaid Services on 2006-03-05.
When was the Susan Ruth Lifer's information last updated?
The Susan Ruth Lifer's information was last updated on 2007-07-09.