Individual
LISA MILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1425 W MAIN ST, WALNUT RIDGE, AR 72476-1431
(870) 886-5303
(870) 886-7002
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404-9675
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L43469
AR
Other
Enumeration date
05/15/2008
Last updated
12/13/2012
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