Individual
LANCE KENNEDY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1555 EXCHANGE AVE, CONWAY, AR 72032-7824
(501) 585-2400
Mailing address
PO BOX 83, MABELVALE, AR 72103-0083
(573) 450-4271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-679
AR
Other
Enumeration date
09/23/2016
Last updated
07/24/2019
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