Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifelong Wellness Center Inc

Organization Family Medicine Physician · NPI 1043413487

Lifelong Wellness Center Inc is a Family Medicine Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1203 E Ross Byp Ste C
Tahlequah, OK 74464-4188
Phone: (918) 458-0700
Fax: (918) 458-0424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (OK)

Record details

NPI number1043413487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edith-Elaine Hodson — President · (918) 453-8550
NPI enumeratedJune 5, 2007
Last updated in NPPESOctober 18, 2007
Mailing address1203 E Ross Bypass, C, Tahlequah, OK 74464-4188

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