Lane Richard Salazar Pllc
NPI #1407403207 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1407403207
- Entity Type
- Organization
- Organization Name
- Lane Richard Salazar Pllc
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Aug 26, 2019
- Last Updated
- Sep 7, 2019
Practice Location
- Address
- 302 N GREENWOOD AVE
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-3454
- Phone
- (479) 434-3600
Authorized Official
- Name
- LANE RICHARD SALAZAR, DNP, APN
- Title
- NURSE PRACTITIONER/OWNER
- Phone
- (479) 461-8765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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