LEE A FORESTIERE MD PA NPI 1255661732

NPI Information

  • NPI: 1255661732
  • Provider Name: LEE A FORESTIERE MD PA
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1609 W 40TH AVE STE 403
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 534-4188

Map and Directions

Get Directions

NPI Details

LEE A FORESTIERE MD PA is a medical specialty clinic center in Pine Bluff, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LEE A FORESTIERE MD PA NPI is 1255661732. The provider is registered as an organization entity type.

The provider's business location address is:

1609 W 40TH AVE STE 403
PINE BLUFF, AR
ZIP 71603-365
Phone: (870) 534-4188
Fax: (870) 534-7964

The provider's authorized official is Renee Bogy .
The authorized official title is Office Manager and has the following contact phone number (870) 534-4188.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 10/20/2020.

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
1261QM2500XClinic/CenterMedical SpecialtyNo
2261QM2500XClinic/CenterMedical SpecialtyC4813ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103036001MEDICAIDARKANSAS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI