Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | A004456 | AR |
Y | 363LN0000X | Nurse Practitioner - Neonatal | A004456 | AR |
NPI | 1144604760 |
---|---|
Provider Name | Lorri Logan Cigalina |
First Address | Bentonville, AR 72712-3831 |
Second Address | Springdale, AR 72762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2015 |
Last Update Date | 04/12/2019 |