Organization
LBS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS KMITA (CFO)
(615) 294-0088
Entity
Organization
Contact information
Practice address
1022 JONES RD, SPRINGDALE, AR 72762-0705
(479) 318-2300
Mailing address
1022 JONES RD, SPRINGDALE, AR 72762-0705
(479) 318-2300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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