Lifespring, INC

NPI #1982083564 in Jeffersonville, Indiana

Provider Information

NPI Number
1982083564
Entity Type
Organization
Organization Name
Lifespring, INC
Subpart
Yes (part of a larger organization)
Parent Organization
LIFESPRING, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 28, 2015
Last Updated
Dec 20, 2023

Practice Location

Address
1036 SHARON DR
State
Indiana
ZIP Code
47130-4522
Phone
(812) 280-2080

Authorized Official

Name
MR. TERRY LYNN STAWAR, ED.D
Title
CEO
Phone
(812) 206-1234

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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