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Organization
LITTLE ROCK INTERNAL MEDICINE
Active
Organization
LITTLE ROCK INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A CHILDERS (CREDENTIALING)
(501) 224-1690
Entity
Organization
Contact information
Practice address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 224-1690
(501) 224-1927
Mailing address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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