# LIFETREE MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1487178331
- **Authorized official:** MR. TODD R JONES (PRESIDENT)
- **Authorized official phone:** (304) 344-1623

## Contact information

- **Practice address:** 462 KENMORE DR, DANVILLE, WV 25053-7133
- **Practice address phone:** (304) 369-0986
- **Mailing address:** PO BOX 280, CABIN CREEK, WV 25035-0280
- **Mailing address phone:** (304) 556-1060
- **Mailing address fax:** (304) 556-1061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 03/15/2022