Lankford, Ladaryl
Lankford, Ladaryl is an individual health care provider with primary practice located at 609 W Maple Ave Hospitalist Office, Springdale AR 72764-5335. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Lankford, Ladaryl can be contacted via phone (479) 757-5282.Contact Information
Primary practice address
609 W Maple Ave Hospitalist Office
Springdale AR 72764-5335
Phone: (479) 757-5282
Fax: (479) 727-2977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | T2007-068 | Arkansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E-5264 | Arkansas |
Profile Details
| NPI number | 1871708180 |
|---|---|
| LBN Legal business name | Lankford, Ladaryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Mar 11th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871708180 | NPPES |
| Arkansas | Other | T2007-068 | TEMP STATE LICENSE |
| Arkansas | MEDICAID | 172277001 | TEMP STATE LICENSE |
| Arkansas | MEDICAID | 200194070A | TEMP STATE LICENSE |
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