Lori Lynn Douglas, | |
3721 Highway 412 E Ste B, Siloam Springs, AR 72761-8010 | |
(479) 215-3080 | |
Not Available |
Full Name | Lori Lynn Douglas |
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Gender | Female |
Speciality | Family Medicine |
Location | 3721 Highway 412 E Ste B, Siloam Springs, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558511261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | E-14396 (Arkansas) | Primary |
Entity Name | Siloam Springs Clinic Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013155431 PECOS PAC ID: 9032275318 Enrollment ID: O20090312000025 |
Mailing Address | Practice Location Address |
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Lori Lynn Douglas, 3510 Richmond Rd, Suite C, Texarkana, TX 75503-0714 Ph: (903) 831-3033 | Lori Lynn Douglas, 3721 Highway 412 E Ste B, Siloam Springs, AR 72761-8010 Ph: (479) 215-3080 |
Richard T Pruiksma, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761 Phone: 479-524-9550 Fax: 479-524-9552 | |
Dr. Dan J Springer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-3141 Fax: 479-524-3090 | |
Dr. George H Benjamin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-3141 Fax: 479-549-4601 | |
Jordyn Elizabeth Temple, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-3141 | |
Dr. Scott G Stinnett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-3141 Fax: 479-524-3090 | |
Dr. Roger W Youmans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-3141 Fax: 479-524-3090 |