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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFESOURCE PRIME INC

Active Organization

LIFESOURCE PRIME INC is a Family Medicine organization located in WILMINGTON, North Carolina. NPI 1598533275 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WILMINGTON, NC

Registration Details

NPI Number
1598533275
Provider Type
Organization
NPI Issued
Dec 13, 2023 (2.4817710781324 yrs)
Last Updated
Oct 28, 2025

Practice Information

Address
3205 RANDALL PKWY STE 105
WILMINGTON, NC, 284032565
Browse NC providers · Browse ZIP 28403
Phone
9107429243
Fax
8887461787
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in WILMINGTON, NC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.