Organization
LWC SEVICE PROVIDERS LLP
Active
Other names
Lifeway Clinic Urgent Care and More
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MADRON (MANAGER)
(423) 201-5926
Entity
Organization
Contact information
Practice address
111 ELLISON RD STE 2, LA FOLLETTE, TN 37766-3025
(423) 201-5926
Mailing address
111 ELLISON RD STE 2, LA FOLLETTE, TN 37766-3025
(423) 201-5926
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538583158
NPI
KY
01
—
1861892424
NPI
TN
01
—
1922199330
NPI
TN
Enumeration date
01/07/2019
Last updated
01/07/2019
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