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LISA A BEARDEN MD PA NPI 1285865865


NPI Information

NPI: 1285865865
Provider Name: LISA A BEARDEN MD PA

Former Legal Business Name: LISA A DUCKWORTH MD PA

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1609 W 40TH AVE
SUITE 204
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-3608
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LISA A BEARDEN 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). LISA A BEARDEN MD PA NPI is 1285865865. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lisa A Duckworth Md Pa.

The provider's business location address is:

1609 W 40TH AVE
SUITE 204
PINE BLUFF, AR
ZIP 71603-319
Phone: (870) 534-3608

The provider's authorized official is Lisa A Bearden .
The authorized official title is Md/owner and has the following contact phone number (870) 534-3608.

The enumeration date for this NPI number is 7/30/2009 and was last updated on 9/30/2010.


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
1261QM2500XClinic/CenterMedical SpecialtyE-6081ARKANSASYes

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: 4/28/2024

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