LWC Sevice Providers LLP

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LWC SEVICE PROVIDERS LLP

Doing business as

Lifeway Clinic Urgent Care and More

Practice address

111 Ellison Rd Ste 2
La Follette, TN 37766-3025

Phone

(423) 201-5926

NPI assigned

Jan 7, 2019

Last updated

Jan 7, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Greg Madron

Title

Manager

Phone

(423) 201-5926

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lifeway Clinic Urgent Care and More Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1295208874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELLISON RD STE 2",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663025",
            "telephone_number": "423-201-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELLISON RD STE 2",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663025",
            "telephone_number": "423-201-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LWC SEVICE PROVIDERS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "MADRON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-201-5926",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538583158",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861892424",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922199330",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeway Clinic Urgent Care and More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert J. Lloyd, D.O.
• Laura Beasley Lockett, FNP
• Tracy Longmars
• Michael Douglas Lopez Jr., D.D.S.
• Rachel Loyd, COTA/L
• Joseph Madron
• Elie Mansour, M.D.
• Elizabeth Marlow, APRN
• Heidi M Marlow, AGNP-CB
• Carol Ann Marshall, APRN BC PSYCH NP

• Urgent Care Clinic/Center in La Follette, TN
• Providers in La Follette, TN by specialty
• Urgent Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.