Organization
LANSDELL FAMILY CLINIC PLLC
Active
Parent organization
LANSDELL FAMILY CLINIC PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANSDELL FAMILY CLINIC PLLC
Authorized official
MICHAEL WAYNE LANSDELL (CLINIC ADMINSTRATOR)
(870) 584-1055
Entity
Organization
Contact information
Practice address
1124 MAIN AVE, DIERKS, AR 71833-9421
(870) 286-2128
(870) 286-2148
Mailing address
500 E COLLIN RAYE DR STE 2, DE QUEEN, AR 71832-8068
(870) 584-1053
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
09/03/2020
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