Individual
LAVON CHERALE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROSTHETICSPECIALIST
Contact information
Practice address
124 E WASHINGTON ST, CAMDEN, AR 71701-4010
(870) 675-1246
Mailing address
PO BOX 444, CAMDEN, AR 71711-0444
(870) 675-1246
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
44410
AR
Other
Enumeration date
10/11/2021
Last updated
12/26/2023
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