Individual
LISA MARIE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT 4600
Contact information
Practice address
1421 N WASHINGTON ST, FORREST CITY, AR 72335-2146
(501) 613-1888
Mailing address
1421 N WASHINGTON ST, FORREST CITY, AR 72335-2146
(501) 613-1888
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
4600
AR
174400000X
Specialist
Primary
4600
AR
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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