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Organization

LIFELINC ANESTHESIA II, PLLC

Active
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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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