# LIFELINC PAIN MANAGEMENT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306237938
- **Authorized official:** ERIC CALLAN CRNA (OWNER, CEO)
- **Authorized official phone:** (901) 844-1590

## Contact information

- **Practice address:** 308 NORTHCREST DR, SPRINGFIELD, TN 37172-3963
- **Practice address phone:** (866) 362-6963
- **Practice address fax:** (866) 362-4202
- **Mailing address:** 3340 PLAYERS CLUB PKWY, SUITE 350, MEMPHIS, TN 38125-8933
- **Mailing address phone:** (901) 844-1590
- **Mailing address fax:** (901) 844-1592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | TN | — |
| 208VP0000X | Pain Medicine Physician | — | TN | Yes |
| 363L00000X | Nurse Practitioner | — | TN | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | TN | — |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 04/21/2016