# LISA A BEARDEN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lisa A Duckworth MD PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285865865
- **Authorized official:** DR. LISA A BEARDEN MD (MD/OWNER)
- **Authorized official phone:** (870) 534-3608

## Contact information

- **Practice address:** 1609 W 40TH AVE, SUITE 204, PINE BLUFF, AR 71603-6319
- **Practice address phone:** (870) 534-3608
- **Mailing address:** 1609 W 40TH AVE, SUITE 204, PINE BLUFF, AR 71603-6319
- **Mailing address phone:** (870) 534-3608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | E-6081 | AR | Yes |

## Other

- **Enumeration date:** 07/30/2009
- **Last updated:** 09/30/2010