Provider Demographics
NPI:1356639058
Name:LIFEVIEW CARE,PLLC
Entity Type:Organization
Organization Name:LIFEVIEW CARE,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:952-426-6427
Mailing Address - Street 1:3600 AMERICAN BLVD W
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1079
Mailing Address - Country:US
Mailing Address - Phone:952-500-3337
Mailing Address - Fax:855-715-1907
Practice Address - Street 1:3600 AMERICAN BLVD W
Practice Address - Street 2:SUITE 225
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-1079
Practice Address - Country:US
Practice Address - Phone:952-500-3337
Practice Address - Fax:855-715-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1809261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1609853530OtherPROVIDER NPI