Lifeline Interventional Therapeutics, PLLC
Lifeline Interventional Therapeutics, PLLC is an Addiction Medicine (Psychiatry & Neurology) Physician in Grand Rapids, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1179 E Paris Ave SE Ste 100Grand Rapids, MI 49546-3682
Phone: (616) 400-5433
Fax: (616) 360-2034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084A0401X |
| Pain Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084P2900X |
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1912726811 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Vanlonkhuyzen — Partner/Physician Assistant · (616) 400-5433 |
| NPI enumerated | October 8, 2024 |
| Last updated in NPPES | December 6, 2024 |
| Certification date | December 6, 2024 |
| Mailing address | 1179 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-3682 |
Other providers in Grand Rapids
-
Dr. Eric Edward Erickson, DO
300 68th St SE, Grand Rapids, MI 49548-6927 · (616) 281-6372
-
Gilbert A Masterson, MD
1179 E Paris Ave SE Ste 100, Grand Rapids, MI 49546-3682 · (616) 690-2690
-
Cameron Risma, MD
300 68th St SE, Grand Rapids, MI 49548-6927 · (616) 455-5000