Organization
LAWRENCE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL MAXWELL (BOARD - CHAIRMAN)
(870) 878-6485
Entity
Organization
Contact information
Practice address
1309 W MAIN ST, WALNUT RIDGE, AR 72476-1430
(870) 886-1200
Mailing address
1309 W MAIN ST, WALNUT RIDGE, AR 72476-1430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122046702
—
AR
Enumeration date
02/02/2007
Last updated
05/06/2008
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