Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | A01024 | AR |
NPI | 1013159698 |
---|---|
Provider Name | Christine Lalande |
First Address | Little Rock, AR 72204-7841 |
Second Address | Little Rock, AR 72204-7841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2009 |
Last Update Date | 30/03/2009 |