# 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:** 1700062411
- **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
- **Mailing address:** 4535 HARDING PIKE STE 210, NASHVILLE, TN 37205-2120
- **Mailing address phone:** (615) 269-6355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NI0900X | Internist Chiropractor | 1894 | TN | Yes |
| 111NN1001X | Nutrition Chiropractor | 1894 | TN | — |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 08/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4204756 | BLUECROSS BLUESHIELD | TN |