Organization
INTEGRATED WOUND CARE ARKANSAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LUSAS MD (MEMBER)
(201) 870-1194
Entity
Organization
Contact information
Practice address
300 S SPRING ST, LITTLE ROCK, AR 72201-2444
(201) 870-1194
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
(201) 870-1194
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
09/07/2022
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