Lavaca Wellness Clinic, P.a.

NPI #1821390287 in Lavaca, Arkansas

Provider Information

NPI Number: 1821390287
Entity Type: Organization
Organization Name: Lavaca Wellness Clinic, P.a.
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 17, 2010
Last Updated: Nov 17, 2010

Practice Location

Address: 603 S DIVISION ST
City: Lavaca
State: Arkansas
ZIP Code: 72941-4129
Phone: (479) 674-9181

Authorized Official

Name: ROBERT E. SANDERS, D.O.
Title: OWNER
Phone: (479) 462-7203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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