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LAVACA FAMILY CLINIC NPI 1407024045


NPI Information

NPI: 1407024045
Provider Name: LAVACA FAMILY CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1000 W MAIN ST
LAVACA, AR
ZIP 72941
Phone: (479) 674-9181
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LAVACA FAMILY CLINIC is a primary care clinic center in Lavaca, AR. LAVACA FAMILY CLINIC NPI is 1407024045. The provider is registered as an organization entity type.

The provider's business location address is:

1000 W MAIN ST
LAVACA, AR
ZIP 72941-530
Phone: (479) 674-9181

The provider's authorized official is Dzaidi Daud .
The authorized official title is Ceo and has the following contact phone number (479) 675-2800.

The enumeration date for this NPI number is 2/18/2008 and was last updated on 9/8/2009.


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
1261QP2300XClinic/CenterPrimary CareYes

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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