Lance Gordon Clouse APRN

NPI 1740249523 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1740249523
Gender Male
Enumeration Date 03/21/2006
Last Updated 06/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
820 FAYETTEVILLE RD
VAN BUREN AR, 72956-3423, US
Phone (479) 410-2225
Fax (479) 410-9238
Business Location
PO BOX 6577
VAN BUREN AR, 72956-3423, US
Phone (479) 410-2225
Fax (479) 410-9238
Toxanomy
Taxonomy Code 363LF0000X
License State Arkansas
License Number A004094
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According to our database, Mr. Lance Gordon Clouse APRN NPI is 1740249523, taxonomy code is 363LF0000X and license number is A004094, license state is located at Arkansas. Lance Gordon Clouse APRN physically located at 820 Fayetteville Rd, Van Buren AR, 72956-3423. NPI Number Lance Gordon Clouse APRN has the Individual type.

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1740249523 NPI number is provided on an as is basis without warranty of any kind. 1740249523 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Gordon Clouse APRN are for informational purposes only.