Organization
LANSDELL FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWNYA L LANSDELL CNP (PRESIDENT)
(870) 584-1053
Entity
Organization
Contact information
Practice address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 584-1053
(870) 584-2087
Mailing address
PO BOX 295, LOCKESBURG, AR 71846-0295
(870) 289-5865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
A003557
AR
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209607762
—
AR
Enumeration date
08/27/2015
Last updated
07/14/2021
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