Organization
LAWRENCE C. AULT,III, M.D. PA
Active
Other names
Arkansas Pain Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LYNN AULT R.N. (ADMINISTRATOR)
(501) 791-3450
Entity
Organization
Contact information
Practice address
2400 CRESTWOOD RD, SUITE 101, NORTH LITTLE ROCK, AR 72116-7067
(501) 791-3450
(501) 791-6855
Mailing address
2400 CRESTWOOD RD, SUITE 101, NORTH LITTLE ROCK, AR 72116-7067
(501) 791-3450
(501) 791-6855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N-7862
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134051002
—
AR
Enumeration date
07/12/2007
Last updated
07/12/2007
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