LEE A FORESTIERE MD PA NPI 1255661732

NPI Information

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:

Other Identifiers

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

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