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Individual

JUDITH NM LAMARRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 DALE BUMPERS DR, FORREST CITY, AR 72335-2696
(870) 630-6000
Mailing address
604 TIMBERBROOK CIR, MARION, AR 72364-2427
(978) 771-8836

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A004701
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A004701
PROVIDER
AR
Enumeration date
03/26/2019
Last updated
03/26/2019
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