Provider Demographics
NPI:1487601555
Name:NORTH LITTLE ROCK WOMEN'S CLINIC, P.A.
Entity type:Organization
Organization Name:NORTH LITTLE ROCK WOMEN'S CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-835-9444
Mailing Address - Street 1:3401 SPRINGHILL DR
Mailing Address - Street 2:SUITE 390
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2924
Mailing Address - Country:US
Mailing Address - Phone:501-835-9444
Mailing Address - Fax:501-835-9731
Practice Address - Street 1:3401 SPRINGHILL DR
Practice Address - Street 2:SUITE 390
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2924
Practice Address - Country:US
Practice Address - Phone:501-835-9444
Practice Address - Fax:501-835-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5070174400000X
ARE2317174400000X
ARE4442174400000X
ARC4934174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR57325Medicare PIN