Individual
MRS. LISA MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4601 W 7TH ST, LITTLE ROCK, AR 72205-5441
(870) 674-4415
Mailing address
PO BOX 685, STUTTGART, AR 72160-0685
(870) 674-4415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L43053
AR
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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