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

Lifesource Prime Inc

Organization Family Medicine Physician · NPI 1548124159

Lifesource Prime Inc is a Family Medicine Physician in Richmond, Virginia. Registered with an NPI since 2025.

In the registry since
2025
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

1901 Libbie Ave
Richmond, VA 23226-1808
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1548124159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eryn Robbins — Vice President Of Operations · (910) 622-2319
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing addressPo Box 740343, Atlanta, GA 30374-0343

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