Individual
MRS. LACI OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 HIGHWAY 64 E, ALMA, AR 72921-6807
(479) 632-3813
(479) 632-8986
Mailing address
PO BOX 2389, ALMA, AR 72921-2389
(479) 632-3813
(479) 632-8986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L057588
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101904724
—
AR
Enumeration date
08/16/2019
Last updated
08/16/2019
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