# LINCOLN WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LINCOLN PUBLIC SCHOOLS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730445081
- **Legal business name:** LINCOLN PUBLIC SCHOOLS
- **Authorized official:** MARY COUSER LPN (SUPERVISOR)
- **Authorized official phone:** (479) 824-3000

## Contact information

- **Practice address:** 573 N. COUNTY ROAD, LINCOLN, AR 72744-0573
- **Practice address phone:** (479) 824-3000
- **Practice address fax:** (479) 824-3003
- **Mailing address:** 573 N. COUNTY ROAD, LINCOLN, AR 72744-0573
- **Mailing address phone:** (479) 824-3000
- **Mailing address fax:** (479) 824-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2012
- **Last updated:** 04/11/2012