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NPI Profile for LISA A ROBERTS in LITTLE ROCK, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI Number | 1639785884 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/22/2020 | |
| Last updated | 09/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA A ROBERTS
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LISA A ROBERTS