Provider Demographics
NPI:1740462589
Name:LIFSCHITZ, MEYER D (MD)
Entity type:Individual
Prefix:DR
First Name:MEYER
Middle Name:D
Last Name:LIFSCHITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92/8 BAYET VEGAN
Mailing Address - Street 2:
Mailing Address - City:JERUSALEM
Mailing Address - State:BAYET VEGAN
Mailing Address - Zip Code:96427
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:92/8 BAYET VEGAN
Practice Address - Street 2:
Practice Address - City:JERUSALEM
Practice Address - State:BAYET VEGAN
Practice Address - Zip Code:96427
Practice Address - Country:IL
Practice Address - Phone:0119722-642-0287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD037022207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology