Vandermark, Lesley Willis
Vandermark, Lesley Willis is an individual health care provider with primary practice located at 155 Stadium Drive , Fayetteville AR 72701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Vandermark, Lesley Willis can be contacted via phone (479) 575-5566.Contact Information
Primary practice address
155 Stadium Drive
Fayetteville AR 72701
Phone: (479) 575-5566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 000666 | Connecticut |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 000666 | Connecticut |
Profile Details
| NPI number | 1548632839 |
|---|---|
| LBN Legal business name | Vandermark, Lesley Willis |
| Credentials | PHD, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2015 |
| Last updated | Feb 10th, 2017 - about 7 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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