Individual
LAWRENCE A WEISENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
106 N VAN BUREN ST, WEINER, AR 72479-9289
(870) 605-0014
(870) 994-7488
Mailing address
101 W MAIN ST, HARDY, AR 72542-9566
(573) 718-2570
(870) 856-2133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005841
AR
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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