National Provider Identifier Database

LIFELONG PRIMARY CARE PLLC
Rural Health


Contact Information

LIFELONG PRIMARY CARE, PLLC
560 N CHANCERY ST
MCMINNVILLE, TN37110-2052
Phone: 931-414-5595
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for LIFELONG PRIMARY CARE, PLLC

NPI Number 1780431130
Legal business name
LBN
LIFELONG PRIMARY CARE, PLLC
Authorized official SARAH LONG - (PHYSICIAN ASSISTANT CERTIFIED/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/03/2024
Last updated 07/14/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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