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Individual

DR. LADARYL LANKFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
609 W MAPLE AVE, HOSPITALIST OFFICE, SPRINGDALE, AR 72764-5335
(479) 757-5282
(479) 727-2977
Mailing address
609 W MAPLE AVE, HOSPITALIST OFFICE, SPRINGDALE, AR 72764-5335
(479) 757-5282
(479) 727-2977

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
T2007-068
AR
208M00000X
Hospitalist Physician
Primary
E-5264
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172277001
AR
05
200194070A
OK
01
T2007-068
TEMP STATE LICENSE
AR
Enumeration date
05/11/2007
Last updated
03/11/2013
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