Provider Demographics
NPI:1629581574
Name:APPA LLC
Entity Type:Organization
Organization Name:APPA LLC
Other - Org Name:LIVWELL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:LILLIFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PA C
Authorized Official - Phone:865-247-5590
Mailing Address - Street 1:431 PARK VILLAGE DR #103
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923
Mailing Address - Country:US
Mailing Address - Phone:865-247-5590
Mailing Address - Fax:865-312-9150
Practice Address - Street 1:431 PARK VILLAGE RD STE 103
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-3806
Practice Address - Country:US
Practice Address - Phone:865-247-5590
Practice Address - Fax:865-312-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN174207LP2900X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty