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Individual

KATHRYN ELIZABETH LAZURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
871 E HERITAGE PKWY, PRAIRIE GROVE, AR 72753-6042
(479) 487-2001
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R101711
AR
363LF0000X
Family Nurse Practitioner
Primary
A006071
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
232364758
AR
Enumeration date
01/16/2019
Last updated
02/24/2026
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