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Organization
LANE RICHARD SALAZAR PLLC
Active
Organization
LANE RICHARD SALAZAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE RICHARD SALAZAR DNP, APN (NURSE PRACTITIONER/OWNER)
(479) 461-8765
Entity
Organization
Contact information
Practice address
302 N GREENWOOD AVE, FORT SMITH, AR 72901-3454
(479) 434-3600
Mailing address
302 N GREENWOOD AVE, FORT SMITH, AR 72901-3454
(479) 434-3600
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
09/07/2019
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