# LANSDELL FAMILY CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANSDELL FAMILY CLINIC PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578149951
- **Legal business name:** LANSDELL FAMILY CLINIC PLLC
- **Authorized official:** MICHAEL WAYNE LANSDELL (VICE PRESIDENT)
- **Authorized official phone:** (870) 584-1053

## Contact information

- **Practice address:** 101 W MAIN, LOCKESBURG, AR 71846-9621
- **Practice address phone:** (870) 289-2076
- **Practice address fax:** (870) 289-2043
- **Mailing address:** 500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
- **Mailing address phone:** (870) 584-1053
- **Mailing address fax:** (870) 584-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 03/24/2021