Individual
MRS. LISA ANNE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
901 HOLIDAY DR, FORREST CITY, AR 72335-9183
(870) 633-0880
(870) 633-3801
Mailing address
901 HOLIDAY DR, FORREST CITY, AR 72335-9183
(870) 633-0880
(870) 633-3801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03359
AR
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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