| Lavaca Wellness Clinic, P.a. | |
|
603 S Division St Lavaca AR 72941-4129 | |
| (479) 674-9181 | |
| (479) 674-8105 |
| Full Name | Lavaca Wellness Clinic, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 603 S Division St, Lavaca, Arkansas |
| Authorized Official Name and Position | Robert E. Sanders (OWNER) |
| Authorized Official Contact | 4794627203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavaca Wellness Clinic, P.a. 603 S Division St Lavaca AR 72941-4129 Ph: (479) 674-9181 | Lavaca Wellness Clinic, P.a. 603 S Division St Lavaca AR 72941-4129 Ph: (479) 674-9181 |
| NPI Number | 1821390287 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821390287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Lavaca Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Main St, Lavaca, AR 72941 Phone: 479-674-9181 | |
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 |