Lafayette County Family Practice | |
226 Spruce Street Lewisville AR 71845 | |
(870) 299-0480 | |
Not Available |
Full Name | Lafayette County Family Practice |
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Speciality | Family Medicine |
Location | 226 Spruce Street, Lewisville, Arkansas |
Authorized Official Name and Position | Claude Wells (OWNER/PROVIDER) |
Authorized Official Contact | 8702990480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lafayette County Family Practice Po Box 1028 Lewisville AR 71845-1028 Ph: (870) 299-0480 | Lafayette County Family Practice 226 Spruce Street Lewisville AR 71845 Ph: (870) 299-0480 |
NPI Number | 1922609833 |
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Provider Enumeration Date | 11/06/2020 |
Last Update Date | 11/06/2020 |
Medicare PECOS PAC ID | 5395157044 |
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Medicare Enrollment ID | O20201222000719 |
Identifier | Type | State | Issuer |
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1922609833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Claude W Wells |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801240395 PECOS PAC ID: 5991043184 Enrollment ID: I20190213002571 |
Lewisville Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1117 Chestnut Street, Lewisville, AR 71845 Phone: 870-921-5781 Fax: 870-921-4510 |