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LAWRENCE C. AULTIII M.D. PA NPI 1255530143


NPI Information

NPI: 1255530143
Provider Name: LAWRENCE C. AULT,III, M.D. PA

Doing Business As: ARKANSAS PAIN MEDICINE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2400 CRESTWOOD RD
SUITE 101
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 791-3450
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LAWRENCE C. AULT,III, M.D. PA is a specialist in North Little Rock, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAWRENCE C. AULT,III, M.D. PA NPI is 1255530143. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Arkansas Pain Medicine.

The provider's business location address is:

2400 CRESTWOOD RD
SUITE 101
NORTH LITTLE ROCK, AR
ZIP 72116-067
Phone: (501) 791-3450
Fax: (501) 791-6855

The provider's authorized official is Karen Lynn Ault .
The authorized official title is Administrator and has the following contact phone number (501) 791-3450.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistN-7862ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D21569MEDICARE UPINARKANSAS
2134051002MEDICAIDARKANSAS

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: 11/14/2023

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