Individual
DR. LISA H FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
534 E HUNTSVILLE RD, FAYETTEVILLE, AR 72701-6127
(479) 582-4325
Mailing address
534 E HUNTSVILLE RD, FAYETTEVILLE, AR 72701-6127
(479) 582-4325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
29
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29
STATE LICENCE
AR
Enumeration date
05/04/2006
Last updated
08/25/2014
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