Individual
MR. LANE RICHARD SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APN
Contact information
Practice address
302 N GREENWOOD AVE, FORT SMITH, AR 72901-3454
(479) 414-4467
Mailing address
302 N GREENWOOD AVE, FORT SMITH, AR 72901-3454
(479) 414-4467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R74308
AR
363L00000X
Nurse Practitioner
Primary
A004003
AR
Other
Enumeration date
12/13/2013
Last updated
09/19/2019
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