Individual
LUBAINA EHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS WAY # 512-19A, LITTLE ROCK, AR 72202-3500
(269) 337-4600
Mailing address
1 CHILDRENS WAY # 512-19A, LITTLE ROCK, AR 72202-3500
(501) 364-2012
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
4351048306APP21
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
05/12/2024
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