# LIFELINC ANESTHESIA NEVADA, P.C.

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

## Provider details

- **NPI number:** 1851950463
- **Authorized official:** GREGORY THOMPSON MD (PRESIDENT)
- **Authorized official phone:** (901) 207-2017

## Contact information

- **Practice address:** 801 E WILLIAMS AVE STE 2209, FALLON, NV 89406-3052
- **Practice address phone:** (901) 844-1590
- **Practice address fax:** (901) 844-1592
- **Mailing address:** 3340 PLAYERS CLUB PKWY STE 350, MEMPHIS, TN 38125-8949
- **Mailing address phone:** (901) 844-1590
- **Mailing address fax:** (901) 844-1592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/07/2019
- **Last updated:** 09/29/2020