# LIFESTYLE MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Center for Natural Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447497896
- **Authorized official:** DR. ASA ANDREW D.C. (OWNER)
- **Authorized official phone:** (615) 269-6355

## Contact information

- **Practice address:** 4535 HARDING PIKE STE 210, NASHVILLE, TN 37205-2120
- **Practice address phone:** (615) 269-6355
- **Practice address fax:** (615) 269-6395
- **Mailing address:** 4535 HARDING PIKE STE 210, NASHVILLE, TN 37205-2120
- **Mailing address phone:** (615) 269-6355
- **Mailing address fax:** (615) 269-6395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 1894 | TN | — |
| 111NN1001X | Nutrition Chiropractor | 2289 | TN | — |
| 207Q00000X | Family Medicine Physician | DO 0085 | TN | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 07/06/2009