Individual
LARA ANN MCGLOTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 W 4TH ST, CORNING, AR 72422-2724
(870) 631-3538
(870) 631-3540
Mailing address
2701 PERSIMMON POND RD, POCAHONTAS, AR 72455-5057
(870) 378-4335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
120150
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120150
MEDICAL LICENSE
AR
Enumeration date
06/06/2019
Last updated
10/13/2022
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