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Individual

MS. LISA ANNE TOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
#4 HIGHWAY 71 NORTHEAST, MOUNTAINBURG, AR 72946
(479) 369-2091
(479) 369-4119
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 635-0091
(479) 635-2010

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
A01247
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160103758
AR
Enumeration date
09/14/2007
Last updated
11/11/2010
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