Individual
TERRI J LEWELLING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
822 BROADWAY ST, VAN BUREN, AR 72956-5834
(479) 474-5061
(479) 474-0195
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4332
AR
Other
Enumeration date
10/06/2005
Last updated
07/08/2007
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