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Organization
LAWRENCE COUNTY FAMILY CLINIC, PA
Active
Organization
LAWRENCE COUNTY FAMILY CLINIC, PA
Active
Other names
Lawence County Family Clinic, P.A .,Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA B MARLIN (INSURANCE CLERK)
(870) 886-3543
Entity
Organization
Contact information
Practice address
1210 W MAIN ST, WALNUT RIDGE, AR 72476-1005
(870) 886-3543
(870) 886-3252
Mailing address
PO BOX 719, WALNUT RIDGE, AR 72476-0719
(870) 886-3543
(870) 886-3252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/28/2007
Last updated
05/15/2014
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