Healthcare Provider Details

I. General information

NPI: 1780691915
Provider Name (Legal Business Name): PATRICIA DINA LIFRAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 CHRISTIANA RD SUITE 8
NEW CASTLE DE
19720-2978
US

IV. Provider business mailing address

5 YORKLYN RIDGE
HOCKESSIN DE
19707
US

V. Phone/Fax

Practice location:
  • Phone: 302-325-6515
  • Fax: 302-689-0122
Mailing address:
  • Phone: 302-239-5450
  • Fax: 302-234-8267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD042477E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberC10003713
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: