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Lee A Forestiere Md Pa
Medical Specialty Clinic/Center in Pine Bluff, Arkansas
NPI 1255661732

Lee A Forestiere Md Pa is a Medical Specialty Clinic/Center based in Pine Bluff, AR and is specialized in Medical Specialty. Lee A Forestiere Md Pa practices in Pine Bluff, AR. The NPI Number for Lee A Forestiere Md Pa is 1255661732 and holds a License No. C4813 (Arkansas).

The current practice location address for Lee A Forestiere Md Pa is 1609 W 40Th Ave Ste 403, Pine Bluff, AR and can be reached out via phone at 870-534-4188 and via fax at 870-534-7964.

Location: 1609 W 40Th Ave Ste 403, Pine Bluff, AR, 71603-6365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255661732
Provider Name
Lee A Forestiere Md Pa
Credential
Provider Entity Type
Organization
Address
1609 W 40Th Ave Ste 403, Pine Bluff, AR, 71603-6365
Phone Number
870-534-4188
Fax Number
870-534-7964
Provider Enumeration Date
01/06/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103036001 05 AR
institution
Provider Business Practice Location Address Details
Address
1609 W 40Th Ave Ste 403
City
Pine Bluff
State
Arkansas
Zip
71603-6365
Phone Number
870-534-4188
Fax Number
870-534-7964
person
Provider Business Mailing Address Details
Address
1609 W 40Th Ave Ste 403
City
Pine Bluff
State
Arkansas
Zip
71603-6365
Phone Number
870-534-4188
Fax Number
870-534-7964
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
C4813 (Arkansas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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