MODERN MEDICINE PLLC NPI 1144561390

NPI Information

  • NPI: 1144561390
  • Provider Name: MODERN MEDICINE PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 350 E MILLSAP RD
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 439-8020

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NPI Details

MODERN MEDICINE PLLC is a general practice in Fayetteville, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MODERN MEDICINE PLLC NPI is 1144561390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 E MILLSAP RD
FAYETTEVILLE, AR
ZIP 72703-098
Phone: (479) 439-8020
Fax: (479) 439-8022

The provider's authorized official is Lonnie Joseph Parker .
The authorized official title is Sole Member and has the following contact phone number (870) 826-7500.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 3/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeE1887ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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