Lee a Forestiere MD PA

NPI #1255661732 in Pine Bluff, Arkansas

Provider Information

NPI Number
1255661732
Entity Type
Organization
Organization Name
Lee a Forestiere MD PA
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jan 6, 2010
Last Updated
Oct 20, 2020

Practice Location

Address
1609 W 40TH AVE STE 403
ZIP Code
71603-6365
Phone
(870) 534-4188

Authorized Official

Name
RENEE BOGY
Title
OFFICE MANAGER
Phone
(870) 534-4188

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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