Individual
LENORA ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5111 ROGERS AVE, FORT SMITH, AR 72903-2047
(479) 484-9200
Mailing address
14704 OAKLEAF RD, MULBERRY, AR 72947-8902
(479) 217-0984
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L-00716
AR
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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