# LANE RICHARD SALAZAR PLLC

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

## Provider details

- **NPI number:** 1407403207
- **Authorized official:** LANE RICHARD SALAZAR DNP, APN (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (479) 461-8765

## Contact information

- **Practice address:** 302 N GREENWOOD AVE, FORT SMITH, AR 72901-3454
- **Practice address phone:** (479) 434-3600
- **Mailing address:** 302 N GREENWOOD AVE, FORT SMITH, AR 72901-3454
- **Mailing address phone:** (479) 434-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 09/07/2019