Individual
MS. LAUREN ELLIS COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
301 W TRIMBLE AVE, BERRYVILLE, AR 72616-3112
(870) 423-3000
Mailing address
1111 W STADIUM DR, FAYETTEVILLE, AR 72701-4081
(417) 543-1501
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612
—
AR
Enumeration date
06/12/2019
Last updated
06/12/2019
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