Organization
LIFELINE PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZIZ A PIRANI M.D. (OWNER / PHYSICIAN)
(770) 559-3501
Entity
Organization
Contact information
Practice address
4025 LAWRENCEVILLE HWY NW STE A, LILBURN, GA 30047-2876
(770) 559-3501
(770) 696-9078
Mailing address
4025 LAWRENCEVILLE HWY NW STE A, LILBURN, GA 30047-2876
(770) 559-3501
(770) 696-9078
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
61934
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790922096
NPI
GA
Enumeration date
08/06/2012
Last updated
08/08/2024
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