Organization
LANCE LAWRENCE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE ANTHONY LAWRENCE D.D.S. (PRESIDENT)
(479) 967-7000
Entity
Organization
Contact information
Practice address
1501 W C ST, RUSSELLVILLE, AR 72801-2800
(479) 967-7000
Mailing address
1501 WEST C STREET, RUSSELLVILLE, AR 72801
(479) 967-7000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2733
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2733
TYPE 1 NPI 1164530580
AR
Enumeration date
01/20/2009
Last updated
01/20/2009
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