institution
Lake Village Clinic Pa
Rural Health Clinic/Center in Lake Village, Arkansas
NPI 1306801212

Lake Village Clinic Pa is a Rural Health Clinic/Center based in Lake Village, AR and is specialized in Rural Health. Lake Village Clinic Pa practices in Lake Village, AR. The NPI Number for Lake Village Clinic Pa is 1306801212 and holds a License No. MC0189 (Arkansas).

The current practice location address for Lake Village Clinic Pa is 2918 Louis Sessions St, Lake Village, AR and can be reached out via phone at 870-265-5343 and via fax at 870-265-5686.

Location: 2918 Louis Sessions St, Lake Village, AR, 71653-6049
institution
Provider Profile Details
NPI Number
1306801212
Provider Name
Lake Village Clinic Pa
Credential
Provider Entity Type
Organization
Address
2918 Louis Sessions St, Lake Village, AR, 71653-6049
Phone Number
870-265-5343
Fax Number
870-265-5686
Provider Enumeration Date
04/20/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101409002 05 AR
127181729 05 AR
institution
Provider Business Practice Location Address Details
Address
2918 Louis Sessions St
City
State
Zip
71653-6049
Phone Number
870-265-5343
Fax Number
870-265-5686
person
Provider Business Mailing Address Details
Address
2918 Louis Sessions St
City
State
Zip
71653-6049
Phone Number
870-265-5343
Fax Number
870-265-5686
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MC0189 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
MC0189 (Arkansas)
Definition
Definition to come...
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