Individual
LISA M COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REEGT,RPSGT
Contact information
Practice address
2101 CONGO, SUITE 900, BENTON, AR 72015-2750
(501) 315-8818
(501) 315-8828
Mailing address
PO BOX 8694, HOT SPRINGS VILLAGE, AR 71910-8694
(501) 860-6130
(501) 860-6054
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
AR
2472E0500X
EEG Technician
—
AR
Other
Enumeration date
12/27/2006
Last updated
08/13/2007
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