Individual
MS. LARA CHRISTINE BULKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1003 WINDOVER RD, JONESBORO, AR 72401-6007
(870) 935-0861
(870) 972-5241
Mailing address
107 CYPRESS PT, PARAGOULD, AR 72450-7104
(870) 476-0850
(870) 240-8028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
077543
AR
Other
Enumeration date
07/20/2007
Last updated
11/04/2010
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