| Little Rock Internal Medicine | |
|
5918 Lee Ave Little Rock AR 72205-3326 | |
| (501) 224-1690 | |
| (501) 224-1927 |
| Full Name | Little Rock Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5918 Lee Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Lisa A Childers (CREDENTIALING) |
| Authorized Official Contact | 5012241690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Rock Internal Medicine 5918 Lee Ave Little Rock AR 72205-3326 Ph: (501) 224-1690 | Little Rock Internal Medicine 5918 Lee Ave Little Rock AR 72205-3326 Ph: (501) 224-1690 |
| NPI Number | 1285774059 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285774059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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