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Lance Lawrence Dds Pa
Dental Clinic/Center in Russellville, Arkansas
NPI 1700023322

Lance Lawrence Dds Pa is a Dental Clinic/Center based in Russellville, AR and is specialized in Dental. Lance Lawrence Dds Pa practices in Russellville, AR. The NPI Number for Lance Lawrence Dds Pa is 1700023322 and holds a License No. 2733 (Arkansas).

The current practice location address for Lance Lawrence Dds Pa is 1501 W C St, Russellville, AR and can be reached out via phone at 479-967-7000.

Location: 1501 W C St, Russellville, AR, 72801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700023322
Provider Name
Lance Lawrence Dds Pa
Credential
Provider Entity Type
Organization
Address
1501 W C St, Russellville, AR, 72801
Phone Number
479-967-7000
Fax Number
Provider Enumeration Date
01/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2733 01 AR TYPE 1 NPI 1164530580
institution
Provider Business Practice Location Address Details
Address
1501 W C St
City
Russellville
State
Arkansas
Zip
72801-2800
Phone Number
479-967-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1501 W C St
City
Russellville
State
Arkansas
Zip
72801-2800
Phone Number
479-967-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2733 (Arkansas)
Definition
Definition to come...
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