Dr. Lesley Willis Vandermark
Sports Medicine
155 Stadium Drive
Fayetteville
, Arkansas 72701
Dr. Lesley Willis Vandermark
Sports Medicine
155 Stadium Drive
Fayetteville
, Arkansas 72701
(479) 575-5566
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Lesley Willis Vandermark
- 155 Stadium Drive
- Fayetteville, AR
- Zip : 72701
- Phone : (479) 575-5566
Second Address
- Dr. Lesley Willis Vandermark
- 155 Stadium Drive
- Fayetteville, AR
- Zip : 72701
- Phone : (479) 575-5566
Reviews
FAQs
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Is Dr. Lesley Willis Vandermark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 000666 | CT |
| Y | 213ES0000X | Sports Medicine | 000666 | CT |
National Provider Identifier
| NPI | 1548632839 |
|---|---|
| Provider Name | Dr. Lesley Willis Vandermark |
| First Address | Fayetteville, AR 72701 |
| Second Address | Fayetteville, AR 72701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2015 |
| Last Update Date | 10/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.