Organization · Type 2 NPI
Lake Village Clinic PA
Rural Health Clinic/Center · Lake Village, AR
NPI number
1306801212
Active
Practice location
2918 Louis Sessions St
Lake Village, AR 71653-6049
Fax (870) 265-5686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | MC0189 (AR) |
| Rural Health Clinic/Center Primary | 261QR1300X | MC0189 (AR) |
Rural Health Clinic/Center: Definition to come...
6 other providers at this address
- Lab One LLCClinical Medical Laboratory Lake Village, AR NPI 1013244417
- Christopher Johnson, FNP-BCFamily Nurse Practitioner Lake Village, AR NPI 1578945770
- Jo Anne Gregory, MDFamily Medicine Physician Lake Village, AR NPI 1346252681
- Mary Margaret Minsky, PA-CPhysician Assistant Lake Village, AR NPI 1619286150
- Nina E. Deal, FNP-CFamily Nurse Practitioner Lake Village, AR NPI 1427578954
- Robert F. Wawrzynek Jr., PA-CPhysician Assistant Lake Village, AR NPI 1821102559
Other rural health clinic/center providers in Lake Village
About NPI 1306801212
Lake Village Clinic PA's National Provider Identifier is 1306801212, issued on Apr 20, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lake Village, AR. The record was last updated on Sep 27, 2024.