Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | E-10695 | AR |
NPI | 1083972293 |
---|---|
Provider Name | Lindsay M. Still |
First Address | Louisville, KY 40223-2992 |
Second Address | Little Rock, AR 72211-4375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 20/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
224622001 | (05) | AR |