Individual
LEWIS NELSON BALLARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1636 HIGDON FERRY RD, MLK BLVD, HOT SPRINGS, AR 71913-6912
(501) 520-2000
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903
(800) 235-1415
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00410
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59408
BCBS
AR
01
—
P00373018
RR MEDICARE GROUP CK 6327
—
Enumeration date
01/26/2006
Last updated
03/28/2008
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