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Individual

LACY J HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1662 HIGDON FERRY RD STE 200, HOT SPRINGS, AR 71913-6981
(501) 623-2781
(501) 623-1774
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(314) 364-7595
(501) 321-4057

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
121708
AR
363LF0000X
Family Nurse Practitioner
121708
AR

Other

Enumeration date
10/28/2019
Last updated
07/21/2021
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