Organization
LIFELINC ANESTHESIA VI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA WARREN COO (COO)
(901) 844-1590
Entity
Organization
Contact information
Practice address
75 NEILSON ST, WATSONVILLE, CA 95076-2468
(831) 724-4741
(844) 752-2163
Mailing address
3340 PLAYERS CLUB PKWY STE 350, MEMPHIS, TN 38125-8949
(901) 207-2017
(844) 752-2163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
10/23/2024
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