Individual
LINDSAY R MELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9500 KANIS RD, HICKINGBOTHAM OUTPAITENT CENTER, LITTLE ROCK, AR 72205-6324
(501) 202-1902
(501) 202-1512
Mailing address
11001 EXECUTIVE CENTER DRIVE, SUITE 200, LITTLE ROCK, AR 72211-7101
(501) 812-7587
(501) 812-7588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A02926
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4345098
CIGNA
—
01
—
5A116
BCBS
—
01
—
71-0781138
GREAT WEST
—
01
—
710781138028
TRICARE
—
Enumeration date
10/12/2006
Last updated
05/20/2008
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