Organization
LIFELINC ANESTHESIA VIII PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA WARREN (COO)
(901) 844-1590
Entity
Organization
Contact information
Practice address
435 2ND ST, NEWPORT, TN 37821-3703
(423) 625-2200
(901) 844-1592
Mailing address
3340 PLAYERS CLUB PKWY STE 350, MEMPHIS, TN 38125-8949
(901) 844-1590
(901) 844-1592
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q084679
—
TN
Enumeration date
05/23/2023
Last updated
10/23/2024
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