Organization · Type 2 NPI
Lifeline Primary Care, Inc
Primary Care Clinic/Center · Lilburn, GA
NPI number
1639426984
Active
Practice location
4025 Lawrenceville Hwy NW Ste A
Lilburn, GA 30047-2876
Fax (770) 696-9078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 61934 (GA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1639426984
Lifeline Primary Care, Inc's National Provider Identifier is 1639426984, issued on Aug 6, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lilburn, GA. The record was last updated on Aug 8, 2024.