| Lavaca Family Clinic | |
|
1000 W Main St Lavaca AR 72941-3530 | |
| (479) 674-9181 | |
| Not Available |
| Full Name | Lavaca Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1000 W Main St, Lavaca, Arkansas |
| Authorized Official Name and Position | Dzaidi Daud (CEO) |
| Authorized Official Contact | 4796752800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavaca Family Clinic 880 W Main St Booneville AR 72927-3420 Ph: () - | Lavaca Family Clinic 1000 W Main St Lavaca AR 72941-3530 Ph: (479) 674-9181 |
| NPI Number | 1407024045 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407024045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Lavaca Wellness Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 S Division St, Lavaca, AR 72941 Phone: 479-674-9181 Fax: 479-674-8105 | |
Lavaca Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 603 S Division St, Lavaca, AR 72941 Phone: 479-431-2050 Fax: 479-431-2058 |