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Individual

LEE A FORESTIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
1609 W 40TH AVE, STE 403, PINE BLUFF, AR 71603-6329
(870) 534-4188
(870) 534-7964
Mailing address
1609 W 40TH AVE, STE 403, PINE BLUFF, AR 71603-6329
(870) 534-4188
(870) 534-7964

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C4813
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103036001
AR
Enumeration date
04/21/2006
Last updated
03/29/2016
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