LIFESOURCE PRIME INC

RICHMOND, VA
NPI1548124159
Entity TypeOrganization
Authorized ContactERYN M ROBBINS
Vice President Of Operations
910-622-2319
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2025-12-10
Last Update Date2025-12-10
Business Address
LIFESOURCE PRIME INC
1901 LIBBIE AVE
RICHMOND, VA 23226-1808
Phone number: 910-742-9243
Mailing Address
LIFESOURCE PRIME INC
PO BOX 740343
ATLANTA, GA 30374-0343
Phone number: 910-338-2877
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