Little Rock Internal Medicine

NPI 1285774059 - Internal Medicine - 207R00000X

NPI Details
NPI 1285774059
Enumeration Date 02/08/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA A LISA
Position CREDENTIALING
Phone (501) 224-1690
Fax (501) 224-1927
Practice Location
5918 LEE AVE
LITTLE ROCK AR, 72205-3326, US
Phone (501) 224-1690
Fax (501) 224-1927
Business Location
5918 LEE AVE
LITTLE ROCK AR, 72205-3326, US
Phone (501) 224-1690
Fax (501) 224-1927
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Little Rock Internal Medicine NPI is 1285774059, taxonomy code is 207R00000X Little Rock Internal Medicine physically located at 5918 Lee Ave, Little Rock AR, 72205-3326. NPI Number 1033115704 has the healthcare provider type.

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1285774059 NPI number is provided on an as is basis without warranty of any kind. 1285774059 is maintained by the National Plan & Provider Enumeration System. The contents of Little Rock Internal Medicine are for informational purposes only.