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

Liferestore MD USA NC1 LLC

Organization Multi-Specialty Clinic/Center · NPI 1417530593

Liferestore MD USA NC1 LLC is a Multi-Specialty Clinic/Center in Wilmington, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1427 Military Cutoff Rd Ste 140
Wilmington, NC 28403-3692
Phone: (214) 494-8121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1417530593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bob Olovsson — Coo · (214) 494-8121
Other names Restoredoc Md; Liferestore Md Usa Llc
NPI enumeratedMay 5, 2021
Last updated in NPPESMay 5, 2021
Certification dateMay 4, 2021
Mailing address3910 Gaston Ave Ste 140, Dallas, TX 75246-1523

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