Individual
MRS. LYNSAY LEIGHANNE BRAUTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3232 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E-6989
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548317340
—
MO
05
—
188522001
—
AR
05
—
200347920 A
—
OK
01
—
200347920A
OK MCD
—
Enumeration date
01/04/2007
Last updated
03/30/2020
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