Individual
BILL BROOKS LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 COLLEGE AVE, CONWAY, AR 72034-7272
(501) 327-6900
(501) 327-3690
Mailing address
PO BOX 10581, CONWAY, AR 72034-0009
(501) 327-6900
(501) 327-3690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8006
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0722160002
CIGNA
AR
01
—
080072893
RAILROAD MEDICARE
AR
05
—
129591001
—
AR
01
—
16918000000
QUALCHOICE
AR
01
—
392651
HEALTHLINK
AR
01
—
5K059
BCBS
AR
01
—
710790635
TRICARE
AR
01
—
7464032
AETNA
AR
01
—
FP98253
UNITED HEALTHCARE
AR
Enumeration date
07/25/2006
Last updated
07/14/2008
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