Lawrence, Brent Martell

Lawrence, Brent Martell is an individual health care provider with primary practice located at 800 Exchange Ave Ste 102B , Conway AR 72032-7833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lawrence, Brent Martell can be contacted via phone (501) 504-6994.

Contact Information

Primary practice address
800 Exchange Ave Ste 102B Conway AR 72032-7833
Phone: (501) 504-6994
Fax: (501) 504-6985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E8177 Arkansas

Profile Details

NPI number 1992966295
LBN Legal business name Lawrence, Brent Martell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Nov 21st, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992966295 NPPES
Arkansas MEDICAID 206117001
Arkansas Other 370913ZG8E
Arkansas Other 5I434

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