Individual
LEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNMHPP
Contact information
Practice address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 443-6496
(479) 443-2519
Mailing address
3352 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-1427
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R72776
AR
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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