Individual
LONNIE E HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889
Mailing address
1003 SCHNEIDER DR, MALVERN, AR 72104-4811
(501) 337-5678
(501) 332-6759
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C7481
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115615001
—
AR
Enumeration date
08/11/2009
Last updated
01/19/2016
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