institution
Lieblong Eye Clinic, Pa
Customized Equipment (DME) in Russellville, Arkansas
NPI 1710167143

Lieblong Eye Clinic, Pa is a Customized Equipment (DME) based in Russellville, AR and is specialized in Customized Equipment. Lieblong Eye Clinic, Pa practices in Russellville, AR. The NPI Number for Lieblong Eye Clinic, Pa is 1710167143 and holds a License No. 2265 (Arkansas).

The current practice location address for Lieblong Eye Clinic, Pa is 2800 W Main St, Russellville, AR and can be reached out via phone at 479-968-2020 and via fax at 479-968-8803. You can also correspond with Lieblong Eye Clinic, Pa through the mailing address at 2800 W MAIN ST, RUSSELLVILLE, AR - 72801-2449 (mailing address contact number: 479-968-2020).

Location: 2800 W Main St, Russellville, AR, 72801-2449
institution
Provider Profile Details
NPI Number
1710167143
Provider Name
Lieblong Eye Clinic, Pa
Credential
Provider Entity Type
Organization
Address
2800 W Main St, Russellville, AR, 72801-2449
Phone Number
479-968-2020
Fax Number
479-968-8803
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410014279 01 AR RAILROAD RETIREMENT
103901722 05 AR
16617000041 01 AR QUAL CHOICE
institution
Provider Business Practice Location Address Details
Address
2800 W Main St
City
State
Zip
72801-2449
Phone Number
479-968-2020
Fax Number
479-968-8803
person
Provider Business Mailing Address Details
Address
2800 W Main St
City
State
Zip
72801-2449
Phone Number
479-968-2020
Fax Number
479-968-8803
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
2265 (Arkansas)
Definition
Definition to come...
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