Life Long Family Practice, PLLC
Organization Active NPI Family Medicine Physician · Lafayette, TN
NPI 1659684256 · NPPES record last updated Oct 28, 2010
Key facts
- NPI
- 1659684256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LIFE LONG FAMILY PRACTICE, PLLC
- Practice address
- 204 Highway 52 Byp W
Lafayette, TN 37083-1727 - Phone
- (615) 688-7353
- Fax
- (615) 688-7355
- NPI assigned
- Jul 23, 2010
- Organization subpart
- No
Authorized official
- Name
- Travis K Pardue, M.D.
- Title
- Owner
- Phone
- (615) 871-0555
National Provider Directory
Locations
204 Highway 52 Byp W
Lafayette, TN 37083
Phone (615) 688-5383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
204 Highway 52 Byp W
Lafayette, TN 37083-1727
Mailing address
3810 Central Pike
Suite 201
Hermitage, TN 37076-3494
Phone (615) 871-0555
Other providers in Lafayette, TN
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- Jessica Lancaster
- Brittany Nicole Lankford
- Lebanon Eye Associates
- Tiffany Ludick
- Macon Community Family Healthcare Group PLLC
- Macon County Board of Education
- Macon County General Hospital Inc.
- Macon County General Hospital Inc.
All providers in Lafayette, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.