# 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:** 1962015859
- **Legal business name:** LANSDELL FAMILY CLINIC PLLC
- **Authorized official:** MICHAEL WAYNE LANSDELL (CLINIC ADMINSTRATOR)
- **Authorized official phone:** (870) 584-1055

## Contact information

- **Practice address:** 1124 MAIN AVE, DIERKS, AR 71833-9421
- **Practice address phone:** (870) 286-2128
- **Practice address fax:** (870) 286-2148
- **Mailing address:** 500 E COLLIN RAYE DR STE 2, DE QUEEN, AR 71832-8068
- **Mailing address phone:** (870) 584-1053

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 09/03/2020