Lemdja, Mimo Rose
Lemdja, Mimo Rose is an individual health care provider with primary practice located at 353 Cash Road Sw , Camden AR 71701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lemdja, Mimo Rose can be contacted via phone (870) 836-8101.Contact Information
Primary practice address
353 Cash Road Sw
Camden AR 71701
Phone: (870) 836-8101
Fax: (870) 837-6880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | E6606 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-6606 | Arkansas |
Profile Details
| NPI number | 1023283710 |
|---|---|
| LBN Legal business name | Lemdja, Mimo Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Sep 2nd, 2020 - about 6 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 | 1023283710 | NPPES |
| Arkansas | MEDICAID | 183874001 |
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