Individual
LANE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W BULLDOG BLVD, FAYETTEVILLE, AR 72701-4714
(479) 444-3000
Mailing address
1000 W BULLDOG BLVD, FAYETTEVILLE, AR 72701-4714
(479) 444-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
12/06/2022
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