| Patricia D Lifrak Md Inc | |
|
287 Christiana Rd Suite 8 New Castle DE 19720-2978 | |
| (302) 328-4392 | |
| (302) 689-0122 |
| Full Name | Patricia D Lifrak Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 287 Christiana Rd, New Castle, Delaware |
| Authorized Official Name and Position | Patricia D Lifrak (PRESIDENT) |
| Authorized Official Contact | 3023284392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia D Lifrak Md Inc 5 Yorkridge Trail Hockessin DE 19707 Ph: (302) 328-4392 | Patricia D Lifrak Md Inc 287 Christiana Rd Suite 8 New Castle DE 19720-2978 Ph: (302) 328-4392 |
| NPI Number | 1295744191 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 07/09/2010 |
| Medicare PECOS PAC ID | 9032117791 |
|---|---|
| Medicare Enrollment ID | O20061114000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295744191 | NPI | - | NPPES |
| 1000021561 | Medicaid | DE | |
| P00367274 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | C10003713 (Delaware) | Primary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | C1-0003713 (Delaware) | Secondary |
| Provider Name | Patricia Lifrak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780691915 PECOS PAC ID: 1254363930 Enrollment ID: I20050901000682 |
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