Individual
MARY LAKEFLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RNP
Contact information
Practice address
44 CLERVAUX DR, LITTLE ROCK, AR 72223-5501
(501) 868-6224
Mailing address
44 CLERVAUX DR, LITTLE ROCK, AR 72223-5501
(501) 868-6224
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
PO1624
AR
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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