Lawrence C. Ault,iii, M.d. Pa

NPI 1255530143 - Specialist - 174400000X

NPI Details
NPI 1255530143
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KAREN LYNN KAREN
Position ADMINISTRATOR
Phone (501) 791-3450
Fax (501) 791-6855
Practice Location
2400 CRESTWOOD RD
SUITE 101
NORTH LITTLE ROCK AR, 72116-7067, US
Phone (501) 791-3450
Fax (501) 791-6855
Business Location
2400 CRESTWOOD RD
SUITE 101
NORTH LITTLE ROCK AR, 72116-7067, US
Phone (501) 791-3450
Fax (501) 791-6855
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number N-7862
Remove 1255530143 NPI Number
 

According to our database, Lawrence C. Ault,iii, M.d. Pa NPI is 1255530143, taxonomy code is 174400000X and license number is N-7862, license state is located at Arkansas. Lawrence C. Ault,iii, M.d. Pa physically located at 2400 Crestwood Rd, North Little Rock AR, 72116-7067. NPI Number 1033115704 has the healthcare provider type.

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1255530143 NPI number is provided on an as is basis without warranty of any kind. 1255530143 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence C. Ault,iii, M.d. Pa are for informational purposes only.