Healthcare Provider Details

I. General information

NPI: 1770414468
Provider Name (Legal Business Name): LIVE LIFE LYME, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SOUTH BLVD E STE LL25
ROCHESTER HILLS MI
48307-6122
US

IV. Provider business mailing address

4356 SASHABAW RD
WATERFORD MI
48329-1956
US

V. Phone/Fax

Practice location:
  • Phone: 248-997-2150
  • Fax: 248-724-1750
Mailing address:
  • Phone: 248-997-2150
  • Fax: 248-724-1750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES PETER MCBRIDE
Title or Position: PRESIDENT
Credential: MD
Phone: 248-709-4078