Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Clinic PLLC

Organization Family Medicine Physician · NPI 1033927744

Life Clinic PLLC is a Family Medicine Physician in New Hope, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9220 Bass Lake Rd
New Hope, MN 55428-3000
Phone: (651) 237-3763
Fax: (651) 300-0992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1033927744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isaac Adediran — President · (651) 237-3763
NPI enumeratedDecember 27, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address9220 Bass Lake Rd, New Hope, MN 55428-3000

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