Organization
LIFELINC ANESTHESIA II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA N WARREN MHA (ADMINISTRATOR/COO)
(901) 844-1590
Entity
Organization
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172
(901) 844-1590
(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
—
1523636
—
TN
05
—
7100162450
—
KY
05
—
7100169260
—
KY
Enumeration date
03/24/2011
Last updated
11/04/2023
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