Individual
HENREY VAN LIEROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
411 LENTZ RD, MORRILTON, AR 72110-3740
(501) 354-1170
Mailing address
411 LENTZ DR.,, MORRILTON, AR 72110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R035595
AR
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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