| Life Long Family Practice, Pllc | |
|
204 Highway 52 Byp W Lafayette TN 37083-1727 | |
| (615) 688-7353 | |
| (615) 688-7355 |
| Full Name | Life Long Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 204 Highway 52 Byp W, Lafayette, Tennessee |
| Authorized Official Name and Position | Travis K Pardue (OWNER) |
| Authorized Official Contact | 6158710555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Long Family Practice, Pllc 3810 Central Pike Suite 201 Hermitage TN 37076-3494 Ph: (615) 871-0555 | Life Long Family Practice, Pllc 204 Highway 52 Byp W Lafayette TN 37083-1727 Ph: (615) 688-7353 |
| NPI Number | 1659684256 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659684256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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