Dr. Leslie Grace Landrum
Internist Hospice and Palliative Medicine
1100 N College Ave
Fayetteville
, Arkansas 72703-1944
Dr. Leslie Grace Landrum
Internist Hospice and Palliative Medicine
1100 N College Ave
Fayetteville
, Arkansas 72703-1944
(479) 751-5744
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Leslie Grace Landrum
- 3232 N Northhills Blvd
- Fayetteville, AR
- Zip : 72703-4005
- Fax : (479) 751-5744
- Phone : (479) 750-7799
Second Address
- Dr. Leslie Grace Landrum
- 1100 N College Ave
- Fayetteville, AR
- Zip : 72703-1944
- Phone : (479) 443-4301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | C7717 | AR |
| N | 111NI0900X | Internist | C7717 | AR |
| Y | 207RH0002X | Hospice and Palliative Medicine | C7717 | AR |
National Provider Identifier
| NPI | 1104842483 |
|---|---|
| Provider Name | Dr. Leslie Grace Landrum |
| First Address | Fayetteville, AR 72703-4005 |
| Second Address | Fayetteville, AR 72703-1944 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 30/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100077480A | (05) | OK |
| 1104842483 | (05) | MO |
| 121329001 | (05) | AR |
| F27709 | (02) | AR |
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.