Individual
MS. LORI LEIGH FAWBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11230 HOLLYRIDGE CV, SHERWOOD, AR 72120-9337
(501) 834-3892
Mailing address
11230 HOLLYRIDGE CV, SHERWOOD, AR 72120-9337
(501) 834-3892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01729
AR
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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