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Lee A Forestiere, MD
Specialist in Pine Bluff, Arkansas
NPI 1447216270

Lee A Forestiere is a Specialist based in Pine Bluff, AR. Lee A Forestiere practices in Pine Bluff, AR and has the professional credentials of MD. The NPI Number for Lee A Forestiere is 1447216270 and holds a License No. C4813 (Arkansas).

The current practice location address for Lee A Forestiere is 1609 W 40Th Ave, 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, Pine Bluff, AR, 71603-6329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447216270
Provider Name
Lee A Forestiere
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1609 W 40Th Ave, Pine Bluff, AR, 71603-6329
Phone Number
870-534-4188
Fax Number
870-534-7964
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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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
City
Pine Bluff
State
Arkansas
Zip
71603-6329
Phone Number
870-534-4188
Fax Number
870-534-7964
person
Provider Business Mailing Address Details
Address
1609 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6329
Phone Number
870-534-4188
Fax Number
870-534-7964
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C4813 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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