Organization
LAWRENCE COUNTY FAMILY CLINIC, PA
Active
Other names
Lawence County Family Clinic, P.A .,Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA B MARLIN (INSURANCE CLERK)
(870) 886-3543
Entity
Organization
Contact information
Practice address
1210 W MAIN ST, WALNUT RIDGE, AR 72476-1005
(870) 886-3543
(870) 886-3252
Mailing address
PO BOX 719, WALNUT RIDGE, AR 72476-0719
(870) 886-3543
(870) 886-3252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128549729
—
AR
Enumeration date
02/28/2007
Last updated
05/15/2014
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