Individual
DR. MIMO ROSE LEMDJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
353 CASH ROAD SW, CAMDEN, AR 71701
(870) 836-8101
(870) 837-6880
Mailing address
PO BOX 757, CAMDEN, AR 71711-0757
(870) 836-8101
(870) 837-6880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6606
AR
208D00000X
General Practice Physician
E6606
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183874001
—
AR
Enumeration date
04/24/2008
Last updated
09/02/2020
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