Lake Village Clinic PA
Lake Village Clinic PA provides General Practice Physician services in Lake Village, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.
- Licensed in
- AR
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2918 Louis Sessions StLake Village, AR 71653-6049
Phone: (870) 265-5343
Fax: (870) 265-5686
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence MC0189 (AR) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence MC0189 (AR) |
Record details
| NPI number | 1306801212 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Suzanne Howell — Billing Manager · (870) 265-5343 |
| NPI enumerated | April 20, 2006 |
| Last updated in NPPES | September 27, 2024 |
| Certification date | September 27, 2024 |
| Mailing address | 2918 Louis Sessions St, Lake Village, AR 71653-6049 |