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Organization

LAWRENCE MEMORIAL HEALTH FOUNDATION INC.

Active
Other names
Lawrence Memorial Physician Group
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VANESSA K WAGNER (CFO)
(870) 886-1263
Entity
Organization

Contact information

Practice address
1309 W MAIN ST, WALNUT RIDGE, AR 72476-1430
(870) 886-1252
(870) 886-3388
Mailing address
1309 W MAIN ST, WALNUT RIDGE, AR 72476-1430
(870) 886-1252
(870) 886-3388

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
AR38420
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103154002
AR
Enumeration date
04/12/2007
Last updated
07/21/2020
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