Organization · Type 2 NPI

Lifesource Prime Inc

Family Medicine Physician · Richmond, VA

NPI number 1548124159 Active

Practice location

1901 Libbie Ave
Richmond, VA 23226-1808

Call (910) 742-9243 Map

Fax (888) 746-1787

Mailing address

PO Box 740343
Atlanta, GA 30374-0343

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

Other family medicine physician providers in Richmond

See all in Richmond →

About NPI 1548124159

Lifesource Prime Inc's National Provider Identifier is 1548124159, issued on Dec 10, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Richmond, VA. The record was last updated on Dec 10, 2025.