Low, Lisa Kathleen
Low, Lisa Kathleen is an individual health care provider with primary practice located at 3101 Se 14Th St , Bentonville AR 72712-4900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Low, Lisa Kathleen can be contacted via phone (479) 986-6090.Contact Information
Primary practice address
3101 Se 14Th St
Bentonville AR 72712-4900
Phone: (479) 986-6090
Fax: (479) 986-6250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E2053 | Arkansas |
Profile Details
| NPI number | 1376591305 |
|---|---|
| LBN Legal business name | Low, Lisa Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 24th, 2011 - about 13 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 | 1376591305 | NPPES |
| Arkansas | MEDICAID | 135785001 |
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