Organization
LONNIE HARRISON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE E HARRISON MD (OWNER)
(501) 860-7189
Entity
Organization
Contact information
Practice address
3 MEDICAL PARK DR STE 201, BENTON, AR 72015-3725
(501) 860-7189
(501) 860-7183
Mailing address
3 MEDICAL PARK DR STE 201, BENTON, AR 72015-3725
(501) 860-7189
(501) 860-7183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C7481
AR
207RI0011X
Interventional Cardiology Physician
Primary
C7481
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115615001
—
AR
Enumeration date
02/06/2017
Last updated
10/31/2024
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