Organization
LAVACA WELLNESS CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. SANDERS D.O. (OWNER)
(479) 462-7203
Entity
Organization
Contact information
Practice address
603 S DIVISION ST, LAVACA, AR 72941-4129
(479) 674-9181
(479) 674-8105
Mailing address
603 S DIVISION ST, LAVACA, AR 72941-4129
(479) 674-9181
(479) 674-8105
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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