Individual
LAUREN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 S WALTON BLVD STE 10, BENTONVILLE, AR 72712-7558
(479) 395-1115
Mailing address
6304 SW GNEISS AVE UNIT 1, BENTONVILLE, AR 72713-5208
(210) 322-7934
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
8105
AR
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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