Organization
LAWRENCE MEMORIAL HOSPITAL
Active
Parent organization
LAWRENCE MEMORIAL HOSPITAL
Other names
IMBODEN CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCE MEMORIAL HOSPITAL
Authorized official
MRS. VANESSA K WAGNER (CFO)
(870) 886-1263
Entity
Organization
Contact information
Practice address
201 N WALNUT STREET, IMBODEN, AR 72434
(870) 869-3101
(870) 869-3014
Mailing address
PO BOX 839, WALNUT RIDGE, AR 72476-0839
(870) 886-1200
(870) 886-5340
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
02/01/2013
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