| Lakewood Family Medicine Clinic | |
|
4701 Fairway Ave Suite D N Little Rock AR 72116-8066 | |
| (501) 975-3616 | |
| (501) 975-6705 |
| Full Name | Lakewood Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4701 Fairway Ave, N Little Rock, Arkansas |
| Authorized Official Name and Position | Muhammad Ali Siddiqui Md (OWNER/CEO) |
| Authorized Official Contact | 5019753616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Family Medicine Clinic 4701 Fairway Ave Suite 201 N Little Rock AR 72116-8066 Ph: (501) 975-3616 | Lakewood Family Medicine Clinic 4701 Fairway Ave Suite D N Little Rock AR 72116-8066 Ph: (501) 975-3616 |
| NPI Number | 1528368701 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528368701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
North Little Rock Primary Care And Diagnostic Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 W Pershing Blvd, N Little Rock, AR 72114 Phone: 501-771-7717 Fax: 501-771-0550 | |
Govinda Lohani Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4020 Richards Rd Ste C, N Little Rock, AR 72117 Phone: 501-379-8115 Fax: 501-379-8075 |