# LAWRENCE COUNTY FAMILY CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawence County Family Clinic, P.A .,Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740317452
- **Authorized official:** MRS. ANITA B MARLIN (INSURANCE CLERK)
- **Authorized official phone:** (870) 886-3543

## Contact information

- **Practice address:** 1210 W MAIN ST, WALNUT RIDGE, AR 72476-1005
- **Practice address phone:** (870) 886-3543
- **Practice address fax:** (870) 886-3252
- **Mailing address:** PO BOX 719, WALNUT RIDGE, AR 72476-0719
- **Mailing address phone:** (870) 886-3543
- **Mailing address fax:** (870) 886-3252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 05/15/2014