Lee County Cooperative Clinic

NPI #1700034998 in Marianna, Arkansas

Provider Information

NPI Number: 1700034998
Entity Type: Organization
Organization Name: Lee County Cooperative Clinic
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 3, 2008
Last Updated: Mar 2, 2021

Practice Location

Address: 530 ATKINS BLVD
City: Marianna
State: Arkansas
ZIP Code: 72360-2113
Phone: (870) 295-5225

Authorized Official

Name: OSSIE M M HALL
Title: BILLING CLERK
Phone: (870) 295-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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