Organization
LIFELINC ANESTHESIA, PLLC
Active
Organization
LIFELINC ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA N WARREN MHA (COO)
(901) 207-2017
Entity
Organization
Contact information
Practice address
3340 PLAYERS CLUB PKWY STE 350, MEMPHIS, TN 38125-8949
(901) 207-2017
(844) 752-2163
Mailing address
3340 PLAYERS CLUB PKWY, SUITE 350, MEMPHIS, TN 38125-8933
(901) 207-2017
(844) 752-2163
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
—
002565700
—
FL
05
—
003116254A
—
GA
05
—
005473200
—
FL
05
—
005473201
—
FL
05
—
005473202
—
FL
05
—
005473203
—
FL
05
—
01886811
—
MS
05
—
1029018500001
—
PA
05
—
1514226
—
TN
05
—
179927002
—
AR
05
—
7100313110
—
KY
05
—
GPB038
—
SC
Enumeration date
05/26/2009
Last updated
09/29/2020
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