Individual
LAUREN WYAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(501) 526-4020
Mailing address
3802 W FIR ST, ROGERS, AR 72758-6156
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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