Individual
LAURA J DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2302 COLLEGE AVE, CONWAY, AR 72034
(501) 329-3831
Mailing address
905 HERITAGE COVE ROW, REDFIELD, AR 72132
(870) 718-0287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A005284
AR
207Q00000X
Family Medicine Physician
A005284
AR
363LF0000X
Family Nurse Practitioner
Primary
A005284
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223358758
—
AR
Enumeration date
08/01/2017
Last updated
07/16/2018
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