Lake Village Clinic PA
NPI #1306801212 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1306801212
- Entity Type
- Organization
- Organization Name
- Lake Village Clinic PA
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Apr 20, 2006
- Last Updated
- Sep 27, 2024
Practice Location
- Address
- 2918 LOUIS SESSIONS ST
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-6049
- Phone
- (870) 265-5343
Authorized Official
- Name
- SUZANNE HOWELL
- Title
- BILLING MANAGER
- Phone
- (870) 265-5343
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Clinic/Center - Rural Health — Rural Health |
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