Individual
MR. JUSTIN LANE ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3071
Mailing address
408 S JACKSON ST, CABOT, AR 72023-3079
(501) 399-9585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R095412
AR
163W00000X
Registered Nurse
Primary
RN9420912
FL
Other
Enumeration date
05/10/2018
Last updated
05/29/2026
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