Lifesource Prime Inc
Lifesource Prime Inc is a Family Medicine Physician in Wilmington, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3205 Randall Pkwy Ste 105Wilmington, NC 28403-2565
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1598533275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggy Baddour — Ceo · (910) 742-9243 |
| NPI enumerated | December 13, 2023 |
| Last updated in NPPES | October 28, 2025 |
| Certification date | October 28, 2025 |
| Mailing address | Po Box 740343, Atlanta, GA 30374-0343 |
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Tina Maria Langley, DO
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Bryan Lotici, DO
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Gail Yeremian Lux, FNP
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Dawn Lysne, MD
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