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

Lifelong Wellness Center Inc

Organization Family Medicine Physician · NPI 1043413487

Lifelong Wellness Center Inc provides Family Medicine Physician services in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
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

1203 E Ross Byp Ste C
Tahlequah, OK 74464-4188 Not confirmed with CMS for 18 years — call before visiting
Phone: (918) 458-0700
Fax: (918) 458-0424
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (OK)

Record details

NPI number1043413487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edith-Elaine Hodson — President · (918) 453-8550
NPI enumeratedJune 5, 2007
Last updated in NPPESOctober 18, 2007
Mailing address1203 E Ross Bypass, C, Tahlequah, OK 74464-4188

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