Organization
LIFESTYLE NEUROLOGY PC
Active
Organization
LIFESTYLE NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANCE BALLARD WILBOURN MD (OWNER/ AUTHORISED OFFICIAL)
(901) 440-8482
Entity
Organization
Contact information
Practice address
2215 WEST ST STE 100, GERMANTOWN, TN 38138-3874
(901) 440-8482
(901) 440-8582
Mailing address
PO BOX 38977, GERMANTOWN, TN 38183-0977
(901) 440-8482
(901) 440-8582
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
10/27/2025
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