Individual provider · Type 1 NPI
Lavon Cherale Green, PROSTHETICSPECIALIST
Prosthetics Case Management · Camden, AR
NPI number
1982366613
Active
Practice location
124 E Washington St
Camden, AR 71701-4010
Mailing address
PO Box 444
Camden, AR 71711-0444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | 44410 (AR) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Another provider at this address
About NPI 1982366613
Lavon Cherale Green, PROSTHETICSPECIALIST's National Provider Identifier is 1982366613, issued on Oct 11, 2021. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Camden, AR. The record was last updated on Dec 26, 2023.