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Organization

LYDIA LANE DWORKIN, M.D. PA

Active
Other names
Hot Springs Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RENATA L. HRDLICKA (PRACTICE ADMINISTRATOR)
(501) 624-1204
Entity
Organization

Contact information

Practice address
402 W GRAND AVE, HOT SPRINGS, AR 71901-5354
(501) 624-1204
(501) 624-6800
Mailing address
402 W GRAND AVE, HOT SPRINGS, AR 71901-5354
(501) 624-1204
(501) 624-6800

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4078
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033112420
NPI NUMBER TYPE 1
AR
Enumeration date
05/11/2007
Last updated
08/22/2020
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