# TRUMANN MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033227749
- **Authorized official:** MR. TRENT ROBERT LAMB MD (OWNER)
- **Authorized official phone:** (870) 483-1025

## Contact information

- **Practice address:** 417 W MAIN, TRUMANN, AR 72472
- **Practice address phone:** (870) 483-1025
- **Practice address fax:** (870) 483-1057
- **Mailing address:** 417 W MAIN, TRUMANN, AR 72472
- **Mailing address phone:** (870) 483-1025
- **Mailing address fax:** (870) 483-1057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E0989 | AR | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 11/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 149879002 | — | AR |
| 01 | — | 5F024 | BLUE CROSS BLUE SHIELD | AR |