Mrs Lydia Pauline Sartain, RD, LD | |
9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | |
(870) 213-6432 | |
Not Available |
Full Name | Mrs Lydia Pauline Sartain |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 9601 Interstate 630 Exit 7, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780943316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1213 (Arkansas) | Primary |
Provider Name | Arcare |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20031206000059 |
Mailing Address | Practice Location Address |
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Mrs Lydia Pauline Sartain, RD, LD 710 Center Ridge Road, Drasco, AR 72530-3416 Ph: (870) 213-6432 | Mrs Lydia Pauline Sartain, RD, LD 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 Ph: (870) 213-6432 |
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