Provider Demographics
NPI:1851146955
Name:LIFEBANC
Entity type:Organization
Organization Name:LIFEBANC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DROBNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-820-4828
Mailing Address - Street 1:4775 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5919
Mailing Address - Country:US
Mailing Address - Phone:216-752-5433
Mailing Address - Fax:
Practice Address - Street 1:4775 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-5919
Practice Address - Country:US
Practice Address - Phone:216-752-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization