Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | E-0791 | AR |
NPI | 1023127958 |
---|---|
Provider Name | Dr. Carmen Lynn Arick |
First Address | Little Rock, AR 72223-8002 |
Second Address | Little Rock, AR 72223-8002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 05/01/2021 |