Individual
MS. LACIE PETITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-5139
Mailing address
1 CHILDRENS WAY # 408, LITTLE ROCK, AR 72202-3500
(501) 364-1893
(501) 364-6878
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A03583
AR
Other
Enumeration date
10/11/2011
Last updated
03/11/2014
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