Individual
LAWRENCE ROY BIGONGIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 S MAIN ST, HOPE, AR 71801-8124
(870) 722-2457
(870) 845-3554
Mailing address
PO BOX 611, NASHVILLE, AR 71852-0611
(870) 845-5718
(870) 845-3554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E1357
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133267001
—
AR
01
—
17884000000
QUAL CHOICE
AR
01
—
5K655
BLUE CROSS BLUE SHIELD
AR
01
—
770063601
BREAST CARE
AR
01
—
P00234464
RAILROAD MEDICARE
AR
Enumeration date
06/14/2005
Last updated
03/30/2011
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