Provider Demographics
NPI:1265191787
Name:LYFE INTEGRATED CARE
Entity type:Organization
Organization Name:LYFE INTEGRATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER OWNER.OPE
Authorized Official - Prefix:
Authorized Official - First Name:SHARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN FNP-C
Authorized Official - Phone:803-804-4501
Mailing Address - Street 1:501 N MAIN ST UNIT 1536
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29721-0349
Mailing Address - Country:US
Mailing Address - Phone:803-804-4501
Mailing Address - Fax:
Practice Address - Street 1:2494 COUNTRY CLUB DRIVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2972
Practice Address - Country:US
Practice Address - Phone:803-804-4501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory