LAWRENCE A WEISENBACH

WEINER, AR
NPI1053891895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A005841)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
LAWRENCE A WEISENBACH APRN
106 N VAN BUREN ST
WEINER, AR 72479-9289
Phone number: 870-605-0014
Mailing Address
LAWRENCE A WEISENBACH APRN
101 W MAIN ST
HARDY, AR 72542-9566
Phone number: 573-718-2570