Individual
MRS. LISA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3450 W 34TH AVE, PINE BLUFF, AR 71603-5508
(870) 534-6067
(870) 534-7392
Mailing address
1 CHILDRENS WAY, SLOT 512-39, LITTLE ROCK, AR 72202-3500
(501) 526-8700
(501) 526-8740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R077639
AR
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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