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Lisa L. Loftis, D.d.s., P.a.
Preferred Provider Organization in Malvern, Arkansas
NPI 1558452409

Lisa L. Loftis, D.d.s., P.a. is a Preferred Provider Organization based in Malvern, AR. Lisa L. Loftis, D.d.s., P.a. practices in Malvern, AR. The NPI Number for Lisa L. Loftis, D.d.s., P.a. is 1558452409 and holds a License No. 2905 (Arkansas).

The current practice location address for Lisa L. Loftis, D.d.s., P.a. is 306 S Ash St, Malvern, AR and can be reached out via phone at 501-332-4979 and via fax at 501-337-7097.

Location: 306 S Ash St, Malvern, AR, 72104-3918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558452409
Provider Name
Lisa L. Loftis, D.d.s., P.a.
Credential
Provider Entity Type
Organization
Address
306 S Ash St, Malvern, AR, 72104-3918
Phone Number
501-332-4979
Fax Number
501-337-7097
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03090017900 01 QUAL CHOICE
58744 01 BLUECROSS BLUESHIELD FED
831360 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
306 S Ash St
City
Malvern
State
Arkansas
Zip
72104-3918
Phone Number
501-332-4979
Fax Number
501-337-7097
person
Provider Business Mailing Address Details
Address
306 S Ash St
City
Malvern
State
Arkansas
Zip
72104-3918
Phone Number
501-332-4979
Fax Number
501-337-7097
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
2905 (Arkansas)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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